Malachi Jordan Mcclendon | Columbus, GA • PECOS Search

Malachi Jordan Mcclendon

Behavior Technician

Behavioral Health & Social Service Providers

6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514

(706) 221-8966 (813) 438-6796

PECOS Enrollment

Based on the most recent information from CMS, provider Malachi Jordan Mcclendon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1437991536
Provider Type
Individual
Full Name
Mcclendon, Malachi Jordan
Gender
Male

Sole Proprietor
No
Enumeration Date
6/10/2024
Last Updated
6/10/2024

Contact Information

Practice Location

6100 Veterans Pkwy Ste 11, Columbus, GA 31909-3514

Unlisted Fax

Mailing Location

1202 Tech Blvd Ste 104, Tampa, FL 33619-7863

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer Georgia