Individual ProviderJohnathan D. QuinBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1079 Space Center Dr # A, Colorado Springs, CO 80915-3612(888) 754-0398PECOS EnrollmentBased on the most recent information from CMS, provider Johnathan D. Quin 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 2 days ago.Profile DetailsProvider ID1194422857Provider TypeIndividualFull NameQuin, Johnathan D.CredentialBT, RBTGenderMaleSole ProprietorYesEnumeration Date2/13/2023Last Updated2/13/2023Contact InformationPractice LocationPractice Address1079 Space Center Dr # A, Colorado Springs, CO 80915-3612Phone(888) 754-0398FaxUnlisted FaxMailing LocationMailing Address1079 Space Center Dr # A, Colorado Springs, CO 80915-3612Phone(888) 754-0398FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer