Individual ProviderLoricelle JuanBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4130 San Ernesto Ave, Anchorage, AK 99508-2875(907) 729-5070(907) 729-6351PECOS EnrollmentBased on the most recent information from CMS, provider Loricelle Juan 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 ID1871317008Provider TypeIndividualFull NameJuan, LoricelleCredentialBHT IGenderFemaleSole ProprietorNoEnumeration Date11/13/2024Last Updated11/13/2024Contact InformationPractice LocationPractice Address4130 San Ernesto Ave, Anchorage, AK 99508-2875Phone(907) 729-5070FaxUnlisted FaxMailing LocationMailing Address7033 E Tudor Rd, Anchorage, AK 99507-1262Phone(907) 729-6351Fax(907) 729-5180Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer