Individual ProviderAustin SandovalBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4130 San Ernesto Ave, Anchorage, AK 99508-2875(907) 729-8901PECOS EnrollmentBased on the most recent information from CMS, provider Austin Sandoval 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 ID1295451672Provider TypeIndividualFull NameSandoval, AustinCredentialBHTGenderMaleSole ProprietorNoEnumeration Date10/17/2022Last Updated10/17/2022Contact InformationPractice LocationPractice Address4130 San Ernesto Ave, Anchorage, AK 99508-2875Phone(907) 729-8901Fax(907) 729-8607Mailing LocationMailing Address7033 E Tudor Rd, Anchorage, AK 99507-1262Phone(907) 729-8901Fax(907) 729-8607Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer