Justine Sommer Shabolin | Anchorage, AK • PECOS Search

Justine Sommer Shabolin

Behavior Technician

Behavioral Health & Social Service Providers

4000 San Ernesto Ave, Anchorage, AK 99508-2874

(907) 729-5020 (907) 729-9989

PECOS Enrollment

Based on the most recent information from CMS, provider Justine Sommer Shabolin 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
1679139752
Provider Type
Individual
Full Name
Shabolin, Justine Sommer
Credential
BHT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/14/2019
Last Updated
3/31/2025

Contact Information

Practice Location

4000 San Ernesto Ave, Anchorage, AK 99508-2874

Unlisted Fax

Mailing Location

7033 E Tudor Rd, Anchorage, AK 99507-1262

(907) 729-5180

Provider Taxonomies

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