Individual ProviderTyler RizzutoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6624 S 196th St, Kent, WA 98032-3113(800) 249-1266PECOS EnrollmentBased on the most recent information from CMS, provider Tyler Rizzuto does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 35 days ago.Profile DetailsProvider ID1043892177Provider TypeIndividualFull NameRizzuto, TylerGenderMaleSole ProprietorNoEnumeration Date4/27/2021Last Updated4/27/2021Contact InformationPractice LocationPractice Address6624 S 196th St, Kent, WA 98032-3113Phone(800) 249-1266FaxUnlisted FaxMailing LocationMailing Address1301 E Orangewood Ave, Anaheim, CA 92805-6807PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer