Individual ProviderWiseman ElickBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874(907) 729-5020(907) 729-8961PECOS EnrollmentBased on the most recent information from CMS, provider Wiseman Elick 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 12:57 PM.Profile DetailsProvider ID1770305724Provider TypeIndividualFull NameElick, WisemanCredentialBHT IIGenderMaleSole ProprietorNoEnumeration Date10/30/2024Last Updated10/30/2024Contact InformationPractice LocationPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874Phone(907) 729-5020FaxUnlisted FaxMailing LocationMailing Address7033 E Tudor Rd, Anchorage, AK 99507-1262Phone(907) 729-8961Fax(907) 729-8901Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer