Individual ProviderCharlotte Da Cruz MirebeauAssistant Behavior AnalystBehavioral Health & Social Service ProvidersPractice Address419 W 49th St Ste 212, Hialeah, FL 33012-3657(855) 832-6727(786) 300-8894PECOS EnrollmentBased on the most recent information from CMS, provider Charlotte Da Cruz Mirebeau 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 12:57 PM.Profile DetailsProvider ID1063944130Provider TypeIndividualFull NameMirebeau, Charlotte Da CruzTitleMs.GenderFemaleSole ProprietorNoEnumeration Date3/29/2017Last Updated3/29/2017Contact InformationPractice LocationPractice Address419 W 49th St Ste 212, Hialeah, FL 33012-3657Phone(855) 832-6727FaxUnlisted FaxMailing LocationMailing Address498 SW 6th St Apt 403, Miami, FL 33130-2996Phone(786) 300-8894FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106E00000XPrimaryDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicenseM610104966220Florida