Individual ProviderNancy RaicesBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address110 Ryan Industrial Ct Ste 4, San Ramon, CA 94583-1591(925) 915-0610PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Raices 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 ID1275067712Provider TypeIndividualFull NameRaices, NancyGenderFemaleSole ProprietorYesEnumeration Date4/11/2017Last Updated4/3/2024Contact InformationPractice LocationPractice Address110 Ryan Industrial Ct Ste 4, San Ramon, CA 94583-1591Phone(925) 915-0610FaxUnlisted FaxMailing LocationMailing Address110 Ryan Industrial Ct Ste 4, San Ramon, CA 94583-1591PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia