Individual ProviderAisha BelagasemBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address9620 Chesapeake Dr., 105, San Diego, CA 92123(626) 658-2905PECOS EnrollmentBased on the most recent information from CMS, provider Aisha Belagasem 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 ID1518552207Provider TypeIndividualFull NameBelagasem, AishaGenderFemaleSole ProprietorNoEnumeration Date3/4/2021Last Updated3/4/2021Contact InformationPractice LocationPractice Address9620 Chesapeake Dr., 105, San Diego, CA 92123Phone(626) 658-2905FaxUnlisted FaxMailing LocationMailing Address9620 Chesapeake Dr., 105, San Diego, CA 92123PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia