Individual ProviderAmanda KasperCounselorBehavioral Health & Social Service ProvidersPractice Address10 Patten St, Watertown, MA 02472-3934(802) 282-6610PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Kasper 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 9:43 AM.Profile DetailsProvider ID1720513245Provider TypeIndividualFull NameKasper, AmandaGenderFemaleSole ProprietorNoEnumeration Date4/21/2017Last Updated4/21/2017Contact InformationPractice LocationPractice Address10 Patten St, Watertown, MA 02472-3934Phone(802) 282-6610FaxUnlisted FaxMailing LocationMailing Address10 Patten St, Watertown, MA 02472-3934Phone(802) 282-6610FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseS89384583Massachusetts