Individual ProviderSheriene Estelle WilsonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1650 Bragaw St, Anchorage, AK 99508-3435(907) 433-7320(907) 433-7620PECOS EnrollmentBased on the most recent information from CMS, provider Sheriene Estelle Wilson 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 ID1497491344Provider TypeIndividualFull NameWilson, Sheriene EstelleGenderFemaleSole ProprietorYesEnumeration Date5/12/2022Last Updated5/12/2022Contact InformationPractice LocationPractice Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 433-7320Fax(907) 433-7320Mailing LocationMailing Address1650 Bragaw St, Anchorage, AK 99508-3435Phone(907) 433-7620Fax(907) 274-6413Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID541127747DescriptionOtherIssuerPASSPORTAlaska