Individual ProviderEdwin DenizardBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address8950 SW 142nd Ave Apt 924, Miami, FL 33186-1100(786) 390-7178PECOS EnrollmentBased on the most recent information from CMS, provider Edwin Denizard 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 ID1073040549Provider TypeIndividualFull NameDenizard, EdwinGenderMaleSole ProprietorYesEnumeration Date5/16/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address8950 SW 142nd Ave Apt 924, Miami, FL 33186-1100Phone(786) 390-7178FaxUnlisted FaxMailing LocationMailing Address8950 SW 142nd Ave Apt 924, Miami, FL 33186-1100Phone(786) 390-7178FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106E00000XDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer