Individual ProviderPedro MaizBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1171 Homestead Rd Ste 250, Santa Clara, CA 95050-5485(408) 614-4608(408) 614-4609PECOS EnrollmentBased on the most recent information from CMS, provider Pedro Maiz 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 3 days ago.Profile DetailsProvider ID1083066799Provider TypeIndividualFull NameMaiz, PedroCredentialM.S., BCBAGenderMaleSole ProprietorYesEnumeration Date7/6/2016Last Updated11/1/2021Contact InformationPractice LocationPractice Address1171 Homestead Rd Ste 250, Santa Clara, CA 95050-5485Phone(408) 614-4608FaxUnlisted FaxMailing LocationMailing Address2765 Homestead Rd Apt 12, Santa Clara, CA 95051-5337Phone(408) 614-4609FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-16-22917California