Indalia De Jesus | Columbus, GA • PECOS Search

Indalia De Jesus

Behavior Technician

Behavioral Health & Social Service Providers

6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514

PECOS Enrollment

Based on the most recent information from CMS, provider Indalia De Jesus 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 3 days ago.

Profile Details

Provider ID
1174100614
Provider Type
Individual
Full Name
De Jesus, Indalia
Credential
RBT

Gender
Female
Sole Proprietor
No
Enumeration Date
3/29/2021
Last Updated
3/29/2021

Contact Information

Practice Location

6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514

Unlisted Fax

Mailing Location

6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514

Unlisted Fax

Provider Taxonomies

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