Jiraporn Ratanapapat | Kent, WA • PECOS Search

Jiraporn Ratanapapat

Behavior Technician

Behavioral Health & Social Service Providers

6624 S 196th St Ste 107, Kent, WA 98032-3113

PECOS Enrollment

Based on the most recent information from CMS, provider Jiraporn Ratanapapat does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 35 days ago.

Profile Details

Provider ID
1124681952
Provider Type
Individual
Full Name
Ratanapapat, Jiraporn
Gender
Female

Sole Proprietor
No
Enumeration Date
4/17/2019
Last Updated
4/17/2019

Contact Information

Practice Location

6624 S 196th St Ste 107, Kent, WA 98032-3113

Unlisted Fax

Mailing Location

1301 E Orangewood Ave, Anaheim, CA 92805-6807

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer