Individual ProviderAngel Beatrice MckneelyBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583(855) 295-3276PECOS EnrollmentBased on the most recent information from CMS, provider Angel Beatrice Mckneely 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 10:34 AM.Profile DetailsProvider ID1295375475Provider TypeIndividualFull NameMckneely, Angel BeatriceGenderFemaleSole ProprietorNoEnumeration Date1/15/2020Last Updated1/15/2020Contact InformationPractice LocationPractice Address3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583Phone(855) 295-3276Fax(818) 241-6853Mailing LocationMailing Address1055 E. Colorado Blvd Suite 560, Pasadena, CA 91106PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer