Trenton Anthony Adair | South Bend, IN • PECOS Search

Trenton Anthony Adair

Behavior Technician

Behavioral Health & Social Service Providers

17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512

(574) 400-2169 (855) 324-0885

PECOS Enrollment

Based on the most recent information from CMS, provider Trenton Anthony Adair 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 12:33 PM.

Profile Details

Provider ID
1215541461
Provider Type
Individual
Full Name
Adair, Trenton Anthony
Credential
RBT

Gender
Male
Sole Proprietor
No
Enumeration Date
9/4/2020
Last Updated
9/4/2020

Contact Information

Practice Location

17390 Dugdale Dr Ste 100, South Bend, IN 46635-1512

(317) 520-8200

Mailing Location

3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

(317) 520-8200

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License RBT-20-111279 Indiana