Sharisse Broome | Colorado Springs, CO • PECOS Search

Sharisse Broome

Behavior Technician

Behavioral Health & Social Service Providers

1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500

(719) 579-6440 (719) 406-6892

PECOS Enrollment

Based on the most recent information from CMS, provider Sharisse Broome 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 2 days ago.

Profile Details

Provider ID
1639955917
Provider Type
Individual
Full Name
Broome, Sharisse
Gender
Female

Sole Proprietor
Yes
Enumeration Date
9/4/2023
Last Updated
9/4/2023

Contact Information

Practice Location

1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500

Unlisted Fax

Mailing Location

393 E Spaulding Ave Unit D18, Pueblo, CO 81007-5611

Unlisted Fax

Provider Taxonomies

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