Individual ProviderRoxann Renee HintergardtBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6624 S 196th St Ste U107, Kent, WA 98032-3113(800) 249-1266PECOS EnrollmentBased on the most recent information from CMS, provider Roxann Renee Hintergardt 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 33 days ago.Profile DetailsProvider ID1053945246Provider TypeIndividualFull NameHintergardt, Roxann ReneeGenderFemaleSole ProprietorNoEnumeration Date2/26/2020Last Updated2/26/2020Contact InformationPractice LocationPractice Address6624 S 196th St Ste U107, Kent, WA 98032-3113Phone(800) 249-1266FaxUnlisted FaxMailing LocationMailing Address1301 E Orangewood Ave, Anaheim, CA 92805-6807Phone(800) 249-1266FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer