Individual ProviderYannick L BokaCounselorBehavioral Health & Social Service ProvidersPractice Address6171 W Charleston Blvd Bldg 13, Las Vegas, NV 89146-1126(702) 486-6166(702) 534-9364PECOS EnrollmentBased on the most recent information from CMS, provider Yannick L Boka 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 2 days ago.Profile DetailsProvider ID1780956961Provider TypeIndividualFull NameBoka, Yannick LGenderMaleSole ProprietorNoEnumeration Date2/2/2012Last Updated2/2/2012Contact InformationPractice LocationPractice Address6171 W Charleston Blvd Bldg 13, Las Vegas, NV 89146-1126Phone(702) 486-6166FaxUnlisted FaxMailing LocationMailing Address8600 W Charleston Blvd Apt 2037, Las Vegas, NV 89117-5416Phone(702) 534-9364FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer