Individual ProviderJessica FieldsBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4100 194th St SW, Lynnwood, WA 98036-4613(425) 426-2761(253) 278-0591PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Fields 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 ID1639639453Provider TypeIndividualFull NameFields, JessicaGenderFemaleSole ProprietorNoEnumeration Date3/20/2019Last Updated3/20/2019Contact InformationPractice LocationPractice Address4100 194th St SW, Lynnwood, WA 98036-4613Phone(425) 426-2761FaxUnlisted FaxMailing LocationMailing Address182 SW 200th St, Normandy Park, WA 98166-4024Phone(253) 278-0591FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerWashington