Pam Genise Pearson | Raleigh, NC • PECOS Search

Pam Genise Pearson

Behavior Technician

Behavioral Health & Social Service Providers

421 Fayetteville St, Suite 1100, Raleigh, NC 27601-1792

(954) 947-3749 (704) 717-7939

PECOS Enrollment

Based on the most recent information from CMS, provider Pam Genise Pearson 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 3 days ago.

Profile Details

Provider ID
1245763184
Provider Type
Individual
Full Name
Pearson, Pam Genise
Title
Miss

Gender
Female
Sole Proprietor
No
Enumeration Date
4/7/2017
Last Updated
4/7/2017

Contact Information

Practice Location

421 Fayetteville St, Suite 1100, Raleigh, NC 27601-1792

Unlisted Fax

Mailing Location

10529 Barvas St, Charlotte, NC 28262-1524

(704) 717-7939

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer