Individual ProviderLaura DiazBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2601 SW 19th Ter, Miami, FL 33145-2521(305) 345-9891PECOS EnrollmentBased on the most recent information from CMS, provider Laura Diaz 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 ID1053760876Provider TypeIndividualFull NameDiaz, LauraGenderFemaleSole ProprietorYesEnumeration Date6/13/2016Last Updated3/15/2022Contact InformationPractice LocationPractice Address2601 SW 19th Ter, Miami, FL 33145-2521Phone(305) 345-9891FaxUnlisted FaxMailing LocationMailing Address2601 SW 19th Ter, Miami, FL 33145-2521PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-15-07104Florida