Individual ProviderAlexandria JohnsonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayetteville St, Raleigh, NC 27601-1792(888) 880-9270(704) 989-5909PECOS EnrollmentBased on the most recent information from CMS, provider Alexandria 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 4 days ago.Profile DetailsProvider ID1699539882Provider TypeIndividualFull NameJohnson, AlexandriaGenderFemaleSole ProprietorNoEnumeration Date2/8/2024Last Updated2/8/2024Contact InformationPractice LocationPractice Address421 Fayetteville St, Raleigh, NC 27601-1792Phone(888) 880-9270FaxUnlisted FaxMailing LocationMailing Address1509 Ridge Haven Rd, Waxhaw, NC 28173-7063Phone(704) 989-5909FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNorth Carolina