Individual ProviderDalton MohammedCounselorBehavioral Health & Social Service ProvidersPractice Address2990 Washington St, Boston, MA 02119-1203(781) 292-0120(508) 208-3228PECOS EnrollmentBased on the most recent information from CMS, provider Dalton Mohammed 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 yesterday at 12:57 PM.Profile DetailsProvider ID1215688809Provider TypeIndividualFull NameMohammed, DaltonGenderMaleSole ProprietorYesEnumeration Date1/14/2022Last Updated9/13/2023Contact InformationPractice LocationPractice Address2990 Washington St, Boston, MA 02119-1203Phone(781) 292-0120FaxUnlisted FaxMailing LocationMailing Address6 Lawson St, Avon, MA 02322-1708Phone(508) 208-3228FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode222Q00000XDescriptionDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerMassachusetts