Individual ProviderKetsia LouisBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address329 Aycrigg Ave, Passaic, NJ 07055-3713(973) 471-3046PECOS EnrollmentBased on the most recent information from CMS, provider Ketsia Louis 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 34 days ago.Profile DetailsProvider ID1477328326Provider TypeIndividualFull NameLouis, KetsiaTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date11/21/2023Last Updated11/29/2023Contact InformationPractice LocationPractice Address329 Aycrigg Ave, Passaic, NJ 07055-3713Phone(973) 471-3046FaxUnlisted FaxMailing LocationMailing Address13 Hasbrouck Dr Apt E, Garnerville, NY 10923-1644PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense003225New York