Individual ProviderTimothy NewsomBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1650 South Bragaw, Anchorage, AK 99508(907) 433-7320PECOS EnrollmentBased on the most recent information from CMS, provider Timothy Newsom 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 yesterday at 12:57 PM.Profile DetailsProvider ID1265051791Provider TypeIndividualFull NameNewsom, TimothyGenderMaleSole ProprietorNoEnumeration Date4/14/2020Last Updated4/14/2020Contact InformationPractice LocationPractice Address1650 South Bragaw, Anchorage, AK 99508Phone(907) 433-7320Fax(907) 274-6413Mailing LocationMailing Address1650 South Bragaw, Anchorage, AK 99508Phone(907) 433-7320Fax(907) 274-6413Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer