Individual ProviderDana Michelle RobertsBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613(425) 312-9235(818) 345-2345PECOS EnrollmentBased on the most recent information from CMS, provider Dana Michelle Roberts 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 ID1407417827Provider TypeIndividualFull NameRoberts, Dana MichelleGenderFemaleSole ProprietorNoEnumeration Date6/26/2019Last Updated6/26/2019Contact InformationPractice LocationPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613Phone(425) 312-9235FaxUnlisted FaxMailing LocationMailing Address21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807Phone(818) 345-2345FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerWashington