Individual ProviderAndrea Latrice GadsonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613(425) 426-2761PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Latrice Gadson 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 ID1386489250Provider TypeIndividualFull NameGadson, Andrea LatriceGenderFemaleSole ProprietorNoEnumeration Date7/1/2024Last Updated7/1/2024Contact InformationPractice LocationPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613Phone(425) 426-2761FaxUnlisted FaxMailing LocationMailing Address5850 Granite Pkwy Ste 600, Plano, TX 75024-6753Phone(425) 426-2761FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer