Individual ProviderPa JattaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address19401 40th Ave W, Lynnwood, WA 98036-4612(657) 444-9002(425) 350-4742PECOS EnrollmentBased on the most recent information from CMS, provider Pa Jatta 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 ID1316838238Provider TypeIndividualFull NameJatta, PaGenderMaleSole ProprietorYesEnumeration Date7/10/2025Last Updated7/10/2025Contact InformationPractice LocationPractice Address19401 40th Ave W, Lynnwood, WA 98036-4612Phone(657) 444-9002FaxUnlisted FaxMailing LocationMailing Address7246 42nd Pl NE, Marysville, WA 98270-7117Phone(425) 350-4742FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer