Anika Ashlyn Fung | Lynnwood, WA • PECOS Search

Anika Ashlyn Fung

Behavior Technician

Behavioral Health & Social Service Providers

4100 194th St SW, Lynnwood, WA 98036-4613

(425) 426-2761 (949) 482-9864

PECOS Enrollment

Based on the most recent information from CMS, provider Anika Ashlyn Fung 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1255143566
Provider Type
Individual
Full Name
Fung, Anika Ashlyn
Gender
Female

Sole Proprietor
Yes
Enumeration Date
1/23/2025
Last Updated
1/23/2025

Contact Information

Practice Location

4100 194th St SW, Lynnwood, WA 98036-4613

Unlisted Fax

Mailing Location

4220 12th Ave NE, Seattle, WA 98105-5907

Unlisted Fax

Provider Taxonomies

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