Individual ProviderClarence LewisBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address11755 SW 90th St, Miami, FL 33186-2177(954) 846-9807(305) 846-9807PECOS EnrollmentBased on the most recent information from CMS, provider Clarence Lewis 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 6 days ago.Profile DetailsProvider ID1043637283Provider TypeIndividualFull NameLewis, ClarenceGenderMaleSole ProprietorYesEnumeration Date3/26/2014Last Updated3/26/2014Contact InformationPractice LocationPractice Address11755 SW 90th St, Miami, FL 33186-2177Phone(954) 846-9807Fax(305) 846-9711Mailing LocationMailing Address11755 SW 90th St, Miami, FL 33186-2177Phone(305) 846-9807Fax(305) 846-9711Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer