Individual ProviderShannon MailletBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1650 S Bragaw, Anchorage, AK 99508(907) 433-7320PECOS EnrollmentBased on the most recent information from CMS, provider Shannon Maillet 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 ID1326692963Provider TypeIndividualFull NameMaillet, ShannonGenderFemaleSole ProprietorNoEnumeration Date7/31/2019Last Updated7/31/2019Contact InformationPractice LocationPractice Address1650 S Bragaw, Anchorage, AK 99508Phone(907) 433-7320Fax(907) 274-6413Mailing LocationMailing Address1650 S Bragaw, Anchorage, AK 99508Phone(907) 433-7320Fax(907) 274-6413Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer