Karonda Champion-Pender | Raleigh, NC • PECOS Search

Karonda Champion-Pender

Behavior Technician

Behavioral Health & Social Service Providers

421 Fayetteville Street, Suite 1100, Raleigh, NC 27601

(888) 880-9720 (888) 880-9270

PECOS Enrollment

Based on the most recent information from CMS, provider Karonda Champion-Pender 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 4 days ago.

Profile Details

Provider ID
1518437102
Provider Type
Individual
Full Name
Champion-Pender, Karonda
Gender
Female

Sole Proprietor
No
Enumeration Date
11/27/2018
Last Updated
11/27/2018

Contact Information

Practice Location

421 Fayetteville Street, Suite 1100, Raleigh, NC 27601

Unlisted Fax

Mailing Location

500 Fairway Drive Suite 102, Deerfield Beach, FL 33441

Unlisted Fax

Provider Taxonomies

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