Individual ProviderJoel Aaron HudsonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address12400 Fair Oaks Blvd Apt 224, Fair Oaks, CA 95628-2525(408) 210-8593PECOS EnrollmentBased on the most recent information from CMS, provider Joel Aaron Hudson 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 ID1265193197Provider TypeIndividualFull NameHudson, Joel AaronGenderMaleSole ProprietorNoEnumeration Date1/3/2022Last Updated1/3/2022Contact InformationPractice LocationPractice Address12400 Fair Oaks Blvd Apt 224, Fair Oaks, CA 95628-2525Phone(408) 210-8593FaxUnlisted FaxMailing LocationMailing Address12400 Fair Oaks Blvd Apt 224, Fair Oaks, CA 95628-2525Phone(408) 210-8593FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer