Individual ProviderLoren Scudder Regalado WheatonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324(714) 834-1111PECOS EnrollmentBased on the most recent information from CMS, provider Loren Scudder Regalado Wheaton 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 ID1326792748Provider TypeIndividualFull NameWheaton, Loren Scudder RegaladoGenderMaleSole ProprietorNoEnumeration Date2/4/2022Last Updated2/4/2022Contact InformationPractice LocationPractice Address9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324Phone(714) 834-1111FaxUnlisted FaxMailing LocationMailing Address9620 Chesapeake Dr Ste 105, San Diego, CA 92123-1324PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106E00000XDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer