Individual ProviderColin Mark PeterBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874(907) 729-5039PECOS EnrollmentBased on the most recent information from CMS, provider Colin Mark Peter 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 yesterday at 12:57 PM.Profile DetailsProvider ID1073179206Provider TypeIndividualFull NamePeter, Colin MarkGenderMaleSole ProprietorYesEnumeration Date5/13/2019Last Updated5/13/2019Contact InformationPractice LocationPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874Phone(907) 729-5039FaxUnlisted FaxMailing LocationMailing Address4000 San Ernesto Ave, Anchorage, AK 99508-2874PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer