Individual ProviderCandace StreeterBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3021 Williams Rd, Columbus, GA 31909-1101(888) 963-2228(334) 650-5673PECOS EnrollmentBased on the most recent information from CMS, provider Candace Streeter 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 ID1891685392Provider TypeIndividualFull NameStreeter, CandaceGenderFemaleSole ProprietorNoEnumeration Date7/7/2025Last Updated7/7/2025Contact InformationPractice LocationPractice Address3021 Williams Rd, Columbus, GA 31909-1101Phone(888) 963-2228FaxUnlisted FaxMailing LocationMailing Address13 Avery Pl, Fort Mitchell, AL 36856-5161Phone(334) 650-5673FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-25-450800Alabama