Individual ProviderJennie-Lyn CampanaleBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address225 Cedar Street, Suite 200, Marlborough, MA 01752(617) 939-5273PECOS EnrollmentBased on the most recent information from CMS, provider Jennie-Lyn Campanale 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 ID1316537707Provider TypeIndividualFull NameCampanale, Jennie-LynGenderFemaleSole ProprietorNoEnumeration Date1/20/2021Last Updated1/20/2021Contact InformationPractice LocationPractice Address225 Cedar Street, Suite 200, Marlborough, MA 01752Phone(617) 939-5273FaxUnlisted FaxMailing LocationMailing Address225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer