Individual ProviderLyudmyla FedunBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7840 Madison Ave Ste 130, Fair Oaks, CA 95628-3589(916) 534-7572PECOS EnrollmentBased on the most recent information from CMS, provider Lyudmyla Fedun 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 ID1437775285Provider TypeIndividualFull NameFedun, LyudmylaGenderFemaleSole ProprietorYesEnumeration Date6/17/2020Last Updated6/17/2020Contact InformationPractice LocationPractice Address7840 Madison Ave Ste 130, Fair Oaks, CA 95628-3589Phone(916) 534-7572FaxUnlisted FaxMailing LocationMailing Address7840 Madison Ave Ste 130, Fair Oaks, CA 95628-3589PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-19-105877California