Individual ProviderRhandhal V TejadaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1650 Bragaw St, Anchorage, AK 99508-3435(907) 433-7363(907) 433-7320PECOS EnrollmentBased on the most recent information from CMS, provider Rhandhal V Tejada 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 ID1295472173Provider TypeIndividualFull NameTejada, Rhandhal VGenderFemaleSole ProprietorYesEnumeration Date5/12/2022Last Updated5/12/2022Contact InformationPractice LocationPractice Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 433-7363Fax(907) 274-6413Mailing LocationMailing Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 433-7320Fax(907) 274-6413Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerAlaskaProvider IdentifiersIDDescriptionIssuerID7372140DescriptionOtherIssuerDIVERS LICENSEAlaska