Individual ProviderTatyana ParkhomenkoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613(425) 426-4761PECOS EnrollmentBased on the most recent information from CMS, provider Tatyana Parkhomenko 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 ID1528841764Provider TypeIndividualFull NameParkhomenko, TatyanaGenderFemaleSole ProprietorNoEnumeration Date8/14/2023Last Updated8/14/2023Contact InformationPractice LocationPractice Address4100 194th St SW Ste 100, Lynnwood, WA 98036-4613Phone(425) 426-4761FaxUnlisted FaxMailing LocationMailing Address5850 Granite Pkwy Ste 600, Plano, TX 75024-6753PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer