Stephanie Wise | Colorado Springs, CO • PECOS Search

Stephanie Wise

Behavior Technician

Behavioral Health & Social Service Providers

1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Wise does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1821505728
Provider Type
Individual
Full Name
Wise, Stephanie
Gender
Female

Sole Proprietor
No
Enumeration Date
1/2/2018
Last Updated
1/2/2018

Contact Information

Practice Location

1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500

Unlisted Fax

Mailing Location

1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer