Individual ProviderThea EngellBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7949 California Ave, Fair Oaks, CA 95628-7156(916) 863-7949PECOS EnrollmentBased on the most recent information from CMS, provider Thea Engell 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 ID1235744954Provider TypeIndividualFull NameEngell, TheaGenderFemaleSole ProprietorYesEnumeration Date9/10/2020Last Updated9/10/2020Contact InformationPractice LocationPractice Address7949 California Ave, Fair Oaks, CA 95628-7156Phone(916) 863-7949FaxUnlisted FaxMailing LocationMailing Address7949 California Ave, Fair Oaks, CA 95628-7156PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer