Amanda Bravo | Watertown, MA • PECOS Search

Amanda Bravo

Counselor

Behavioral Health & Social Service Providers

51 Kondazian St, Watertown, MA 02472-2830

PECOS Enrollment

Based on the most recent information from CMS, provider Amanda Bravo 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 9:43 AM.

Profile Details

Provider ID
1659970143
Provider Type
Individual
Full Name
Bravo, Amanda
Gender
Female

Sole Proprietor
No
Enumeration Date
10/26/2020
Last Updated
10/26/2020

Contact Information

Practice Location

51 Kondazian St, Watertown, MA 02472-2830

Unlisted Fax

Mailing Location

50 Capen St, Dorchester, MA 02124-4211

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer