Individual ProviderAlyssa BooteBehavior 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 Alyssa Boote 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 ID1093360133Provider TypeIndividualFull NameBoote, AlyssaGenderFemaleSole ProprietorNoEnumeration Date8/6/2019Last Updated8/6/2019Contact InformationPractice LocationPractice Address6624 S 196th St Ste U107, 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