Edrika Lanay Dave | San Diego, CA • PECOS Search

Edrika Lanay Dave

Behavior Technician

Behavioral Health & Social Service Providers

9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324

(858) 505-9083 (619) 560-8553

PECOS Enrollment

Based on the most recent information from CMS, provider Edrika Lanay Dave 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1154914380
Provider Type
Individual
Full Name
Dave, Edrika Lanay
Gender
Female

Sole Proprietor
No
Enumeration Date
2/18/2021
Last Updated
2/18/2021

Contact Information

Practice Location

9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324

Unlisted Fax

Mailing Location

6072 Nancita Ct, San Diego, CA 92114-4130

Unlisted Fax

Provider Taxonomies

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