Individual ProviderHeather ZacksBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3160 Crow Canyon Pl, San Ramon, CA 94583-1100(855) 295-3276PECOS EnrollmentBased on the most recent information from CMS, provider Heather Zacks 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 10:34 AM.Profile DetailsProvider ID1366002099Provider TypeIndividualFull NameZacks, HeatherGenderFemaleSole ProprietorNoEnumeration Date6/14/2019Last Updated6/14/2019Contact InformationPractice LocationPractice Address3160 Crow Canyon Pl, San Ramon, CA 94583-1100Phone(855) 295-3276Fax(818) 241-6853Mailing LocationMailing Address1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer