Individual ProviderGlowyn RoughtonBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1621 Bailey Ln, Virginia Beach, VA 23451-5942(757) 955-1052PECOS EnrollmentBased on the most recent information from CMS, provider Glowyn Roughton 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 today at 11:48 AM.Profile DetailsProvider ID1194146019Provider TypeIndividualFull NameRoughton, GlowynGenderFemaleSole ProprietorNoEnumeration Date12/18/2013Last Updated12/18/2013Contact InformationPractice LocationPractice Address1621 Bailey Ln, Virginia Beach, VA 23451-5942Phone(757) 955-1052FaxUnlisted FaxMailing LocationMailing Address1621 Bailey Ln, Virginia Beach, VA 23451-5942PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer