Individual ProviderKaitlyn SholleyBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address421 Fayetteville St Ste 100, Raleigh, NC 27601-1781(877) 418-2978(910) 578-4802PECOS EnrollmentBased on the most recent information from CMS, provider Kaitlyn Sholley 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 ID1770253445Provider TypeIndividualFull NameSholley, KaitlynGenderFemaleSole ProprietorNoEnumeration Date9/15/2021Last Updated9/15/2021Contact InformationPractice LocationPractice Address421 Fayetteville St Ste 100, Raleigh, NC 27601-1781Phone(877) 418-2978Fax(866) 500-2186Mailing LocationMailing Address1203 Weeping Willow Way, Fayetteville, NC 28304-3092Phone(910) 578-4802FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerNorth Carolina