Individual ProviderKristen Ashley EubanksBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayetteville Street Suite 1100, Raleigh, NC 27601(336) 327-9457PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Ashley Eubanks 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 4 days ago.Profile DetailsProvider ID1093267817Provider TypeIndividualFull NameEubanks, Kristen AshleyGenderFemaleSole ProprietorNoEnumeration Date10/27/2016Last Updated10/27/2016Contact InformationPractice LocationPractice Address421 Fayetteville Street Suite 1100, Raleigh, NC 27601Phone(336) 327-9457FaxUnlisted FaxMailing LocationMailing Address500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer