Individual ProviderDeaisanae ScottBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7778 Schomburg Rd Apt 923, Columbus, GA 31909-1939(678) 902-1012PECOS EnrollmentBased on the most recent information from CMS, provider Deaisanae Scott 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 3 days ago.Profile DetailsProvider ID1871342360Provider TypeIndividualFull NameScott, DeaisanaeGenderFemaleSole ProprietorNoEnumeration Date5/16/2024Last Updated5/16/2024Contact InformationPractice LocationPractice Address7778 Schomburg Rd Apt 923, Columbus, GA 31909-1939Phone(678) 902-1012FaxUnlisted FaxMailing LocationMailing Address7778 Schomburg Rd Apt 923, Columbus, GA 31909-1939Phone(678) 902-1012FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer