Individual ProviderAva Lee SarafanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1430 Main St, Waltham, MA 02451-1623(781) 647-5327(978) 274-2113PECOS EnrollmentBased on the most recent information from CMS, provider Ava Lee Sarafan 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 ID1720582489Provider TypeIndividualFull NameSarafan, Ava LeeGenderFemaleSole ProprietorNoEnumeration Date3/19/2018Last Updated3/19/2018Contact InformationPractice LocationPractice Address1430 Main St, Waltham, MA 02451-1623Phone(781) 647-5327FaxUnlisted FaxMailing LocationMailing Address118 Strawberry Hill Rd, Acton, MA 01720-5753Phone(978) 274-2113FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1024029Massachusetts