Ana Elizabeth Ruddell | Anchorage, AK • PECOS Search

Ana Elizabeth Ruddell

Behavior Technician

Behavioral Health & Social Service Providers

4130 San Ernesto Ave, Anchorage, AK 99508-2875

PECOS Enrollment

Based on the most recent information from CMS, provider Ana Elizabeth Ruddell 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
1609513688
Provider Type
Individual
Full Name
Ruddell, Ana Elizabeth
Credential
CDC1 SUPERVISOR BHT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/19/2022
Last Updated
5/19/2022

Contact Information

Practice Location

4130 San Ernesto Ave, Anchorage, AK 99508-2875

(907) 729-8607

Mailing Location

7033 E Tudor Rd, Anchorage, AK 99507-1262

(907) 729-8607

Provider Taxonomies

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