Individual ProviderOwen ColeBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156(916) 863-7949PECOS EnrollmentBased on the most recent information from CMS, provider Owen Cole 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 2 days ago.Profile DetailsProvider ID1407526080Provider TypeIndividualFull NameCole, OwenGenderMaleSole ProprietorYesEnumeration Date9/15/2021Last Updated9/15/2021Contact InformationPractice LocationPractice Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156Phone(916) 863-7949FaxUnlisted FaxMailing LocationMailing Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156Phone(916) 863-7949FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer