Individual ProviderKevin Richard ArteagaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613(425) 232-1731(818) 345-2345PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Richard Arteaga 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 ID1356842611Provider TypeIndividualFull NameArteaga, Kevin RichardGenderMaleSole ProprietorNoEnumeration Date2/22/2018Last Updated2/22/2018Contact InformationPractice LocationPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613Phone(425) 232-1731FaxUnlisted FaxMailing LocationMailing Address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807Phone(818) 345-2345FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseCB60779890Washington