Individual ProviderTrenton BriscoBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address9509 Yellowshale St, Las Vegas, NV 89143-1137(310) 883-8445PECOS EnrollmentBased on the most recent information from CMS, provider Trenton Brisco 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 2 days ago.Profile DetailsProvider ID1982903738Provider TypeIndividualFull NameBrisco, TrentonGenderMaleSole ProprietorYesEnumeration Date3/18/2011Last Updated3/18/2011Contact InformationPractice LocationPractice Address9509 Yellowshale St, Las Vegas, NV 89143-1137Phone(310) 883-8445FaxUnlisted FaxMailing LocationMailing Address9509 Yellowshale St, Las Vegas, NV 89143-1137Phone(310) 883-8445FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer