Individual ProviderAngell AttawayBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500(719) 579-6440PECOS EnrollmentBased on the most recent information from CMS, provider Angell Attaway 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 ID1275276024Provider TypeIndividualFull NameAttaway, AngellCredentialRBTGenderFemaleSole ProprietorYesEnumeration Date4/19/2022Last Updated4/19/2022Contact InformationPractice LocationPractice Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500Phone(719) 579-6440FaxUnlisted FaxMailing LocationMailing Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense22-211530Colorado