Individual ProviderAva MinolliBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156(916) 863-7949PECOS EnrollmentBased on the most recent information from CMS, provider Ava Minolli 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 ID1801678883Provider TypeIndividualFull NameMinolli, AvaGenderFemaleSole ProprietorYesEnumeration Date10/16/2023Last Updated10/16/2023Contact InformationPractice LocationPractice Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156Phone(916) 863-7949Fax(916) 863-1450Mailing LocationMailing Address7949 California Ave Ste 15, Fair Oaks, CA 95628-7156Phone(916) 863-7949Fax(916) 863-1450Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer