Individual ProviderCourtney R DickersonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayettville St. Suite 1100, Raleigh, NC 27601(877) 418-2978PECOS EnrollmentBased on the most recent information from CMS, provider Courtney R Dickerson 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 ID1720632680Provider TypeIndividualFull NameDickerson, Courtney RGenderFemaleSole ProprietorNoEnumeration Date7/30/2019Last Updated7/30/2019Contact InformationPractice LocationPractice Address421 Fayettville St. Suite 1100, Raleigh, NC 27601Phone(877) 418-2978Fax(866) 500-2186Mailing LocationMailing Address421 Fayettville St. Suite 1100, Raleigh, NC 27601Phone(877) 418-2978Fax(866) 500-2186Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer