Individual ProviderSamara Jacklyn RomeroBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1079 Space Center Dr, Colorado Springs, CO 80915-3612(719) 372-5752PECOS EnrollmentBased on the most recent information from CMS, provider Samara Jacklyn Romero 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 ID1235815606Provider TypeIndividualFull NameRomero, Samara JacklynGenderFemaleSole ProprietorNoEnumeration Date6/22/2023Last Updated6/22/2023Contact InformationPractice LocationPractice Address1079 Space Center Dr, Colorado Springs, CO 80915-3612Phone(719) 372-5752Fax(719) 372-5752Mailing LocationMailing Address1079 Space Center Dr, Colorado Springs, CO 80915-3612Phone(719) 372-5752Fax(719) 372-5752Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer