Individual ProviderChristopher DeyoungBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1650 Bragaw St, Anchorage, AK 99508-3435(907) 433-7320(907) 433-7363PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Deyoung 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 ID1417687948Provider TypeIndividualFull NameDeyoung, ChristopherGenderMaleSole ProprietorYesEnumeration Date6/16/2022Last Updated6/16/2022Contact InformationPractice LocationPractice Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 433-7320Fax(907) 274-6413Mailing LocationMailing Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 433-7363Fax(907) 274-6413Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID7990888DescriptionOtherIssuerDRIVERS LICENSE NUMBERAlaska