Individual ProviderAudrey JohnsonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156(916) 863-7949PECOS EnrollmentBased on the most recent information from CMS, provider Audrey 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 10:51 AM.Profile DetailsProvider ID1699314930Provider TypeIndividualFull NameJohnson, AudreyGenderFemaleSole ProprietorYesEnumeration Date1/3/2020Last Updated1/3/2020Contact InformationPractice LocationPractice Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156Phone(916) 863-7949FaxUnlisted FaxMailing LocationMailing Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156Phone(916) 863-7949FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer