Individual ProviderHolly WattsBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address584 E Bellevue Rd, Atwater, CA 95301-2300(559) 747-2177PECOS EnrollmentBased on the most recent information from CMS, provider Holly Watts 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 3 days ago.Profile DetailsProvider ID1245974096Provider TypeIndividualFull NameWatts, HollyGenderFemaleSole ProprietorNoEnumeration Date4/26/2022Last Updated4/26/2022Contact InformationPractice LocationPractice Address584 E Bellevue Rd, Atwater, CA 95301-2300Phone(559) 747-2177FaxUnlisted FaxMailing LocationMailing Address584 E Bellevue Rd, Atwater, CA 95301-2300PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer