Tatiana Zhirnova | Fair Oaks, CA • PECOS Search

Tatiana Zhirnova

Behavior Technician

Behavioral Health & Social Service Providers

7949 California Ave Ste 15, Fair Oaks, CA 95628-7156

PECOS Enrollment

Based on the most recent information from CMS, provider Tatiana Zhirnova 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 2 days ago.

Profile Details

Provider ID
1144797044
Provider Type
Individual
Full Name
Zhirnova, Tatiana
Gender
Female

Sole Proprietor
Yes
Enumeration Date
10/29/2018
Last Updated
10/29/2018

Contact Information

Practice Location

7949 California Ave Ste 15, Fair Oaks, CA 95628-7156

Unlisted Fax

Mailing Location

7949 California Ave Ste 15, Fair Oaks, CA 95628-7156

Unlisted Fax

Provider Taxonomies

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