Look up the most recent NPI and PECOS records

Colleen Olds

Behavior Technician

Behavioral Health & Social Service Providers

4000 San Ernesto Ave, Anchorage, AK 99508-2874

PECOS Enrollment

Based on the most recent information from CMS, provider Colleen Olds 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
1194344127
Provider Type
Individual
Full Name
Olds, Colleen
Gender
Female

Sole Proprietor
No
Enumeration Date
4/9/2020
Last Updated
7/23/2021

Contact Information

Practice Location

4000 San Ernesto Ave, Anchorage, AK 99508-2874

(907) 729-6351

Unlisted Fax

Mailing Location

4000 San Ernesto Ave, Anchorage, AK 99508-2874

(907) 729-6351

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 373H00000X	Description Day Training/Habilitation Specialist Nursing Service Related Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID NA	Description Other	Issuer N/A

Colleen Olds

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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