Individual ProviderAustin JohnsonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874(907) 729-5060PECOS EnrollmentBased on the most recent information from CMS, provider Austin Johnson 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 ID1679139760Provider TypeIndividualFull NameJohnson, AustinGenderMaleSole ProprietorNoEnumeration Date5/14/2019Last Updated5/14/2019Contact InformationPractice LocationPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874Phone(907) 729-5060FaxUnlisted FaxMailing LocationMailing Address7033 E Tudor Rd, Anchorage, AK 99507-1262PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer