Tatiana Monique Baber | Anchorage, AK • PECOS Search

Tatiana Monique Baber

Behavior Technician

Behavioral Health & Social Service Providers

4000 San Ernesto Ave, Anchorage, AK 99508-2874

(907) 729-5020 (907) 729-0000

PECOS Enrollment

Based on the most recent information from CMS, provider Tatiana Monique Baber 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1508422957
Provider Type
Individual
Full Name
Baber, Tatiana Monique
Gender
Female

Sole Proprietor
No
Enumeration Date
5/10/2019
Last Updated
5/10/2019

Contact Information

Practice Location

4000 San Ernesto Ave, Anchorage, AK 99508-2874

Unlisted Fax

Mailing Location

7033 E Tudor Rd, Anchorage, AK 99507-1262

Unlisted Fax

Provider Taxonomies

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