Individual ProviderKatherine M WynneBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1096 Owls Creek Ln, Virginia Beach, VA 23451-5842(757) 971-2240PECOS EnrollmentBased on the most recent information from CMS, provider Katherine M Wynne 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 11:48 AM.Profile DetailsProvider ID1134464191Provider TypeIndividualFull NameWynne, Katherine MGenderFemaleSole ProprietorNoEnumeration Date12/3/2012Last Updated12/3/2012Contact InformationPractice LocationPractice Address1096 Owls Creek Ln, Virginia Beach, VA 23451-5842Phone(757) 971-2240FaxUnlisted FaxMailing LocationMailing Address1096 Owls Creek Ln, Virginia Beach, VA 23451-5842PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-12-10025Virginia