Individual ProviderKoriean Charlz SmithBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address225 Cedar Hill St Ste 200, Marlborough, MA 01752(877) 418-2978PECOS EnrollmentBased on the most recent information from CMS, provider Koriean Charlz Smith 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 ID1093374522Provider TypeIndividualFull NameSmith, Koriean CharlzGenderFemaleSole ProprietorNoEnumeration Date6/9/2019Last Updated6/11/2019Contact InformationPractice LocationPractice Address225 Cedar Hill St Ste 200, Marlborough, MA 01752Phone(877) 418-2978Fax(866) 500-2186Mailing LocationMailing Address500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817Phone(877) 418-2978Fax(866) 500-2186Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer