Individual ProviderZackary MisnerBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874(907) 690-5363PECOS EnrollmentBased on the most recent information from CMS, provider Zackary Misner 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 ID1982343380Provider TypeIndividualFull NameMisner, ZackaryGenderMaleSole ProprietorNoEnumeration Date6/2/2022Last Updated6/2/2022Contact InformationPractice LocationPractice Address4000 San Ernesto Ave, Anchorage, AK 99508-2874Phone(907) 690-5363FaxUnlisted FaxMailing LocationMailing Address7033 E Tudor Rd, Anchorage, AK 99507-1262PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer