Individual ProviderSamantha RonderosBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address11755 SW 90th St, Suit 210, Miami, FL 33186-2177(305) 846-9807PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Ronderos 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 ID1093100711Provider TypeIndividualFull NameRonderos, SamanthaTitleMissGenderFemaleSole ProprietorYesEnumeration Date3/31/2015Last Updated3/31/2015Contact InformationPractice LocationPractice Address11755 SW 90th St, Suit 210, Miami, FL 33186-2177Phone(305) 846-9807Fax(305) 846-9711Mailing LocationMailing Address11755 SW 90th St, Suit 210, Miami, FL 33186-2177Phone(305) 846-9807Fax(305) 846-9711Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseR536780948360Florida