Individual ProviderCrystal Dawn AllenBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayetteville St, Raleigh, NC 27601-1792(877) 418-2978PECOS EnrollmentBased on the most recent information from CMS, provider Crystal Dawn Allen 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 3 days ago.Profile DetailsProvider ID1083229918Provider TypeIndividualFull NameAllen, Crystal DawnTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date9/8/2020Last Updated9/8/2020Contact InformationPractice LocationPractice Address421 Fayetteville St, Raleigh, NC 27601-1792Phone(877) 418-2978Fax(866) 500-2186Mailing LocationMailing Address4201 Fayetteville Rd, Raleigh, NC 27603-3607Phone(877) 418-2978Fax(866) 500-2186Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNorth Carolina