Karen Miranda Corpuz | Anchorage, AK • PECOS Search

Karen Miranda Corpuz

Behavior Technician

Behavioral Health & Social Service Providers

4130 San Ernesto Ave, Anchorage, AK 99508-2875

(907) 729-5084 (907) 529-7515

PECOS Enrollment

Based on the most recent information from CMS, provider Karen Miranda Corpuz does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1043876022
Provider Type
Individual
Full Name
Corpuz, Karen Miranda
Gender
Female

Sole Proprietor
No
Enumeration Date
5/15/2019
Last Updated
5/15/2019

Contact Information

Practice Location

4130 San Ernesto Ave, Anchorage, AK 99508-2875

Unlisted Fax

Mailing Location

PO Box 211411, Anchorage, AK 99521-1411

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer