Individual ProviderDylan Sierra EverettSocial WorkerBehavioral Health & Social Service ProvidersPractice Address130 Second Ave, Waltham, MA 02451-1158(413) 237-0117PECOS EnrollmentBased on the most recent information from CMS, provider Dylan Sierra Everett 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 10:04 AM.Profile DetailsProvider ID1083084891Provider TypeIndividualFull NameEverett, Dylan SierraGenderFemaleSole ProprietorNoEnumeration Date10/6/2015Last Updated10/24/2022Contact InformationPractice LocationPractice Address130 Second Ave, Waltham, MA 02451-1158Phone(413) 237-0117FaxUnlisted FaxMailing LocationMailing Address130 Second Ave, Waltham, MA 02451-1100Phone(413) 237-0117FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer