Isidro Lara | Miami, FL • PECOS Search

Isidro Lara

Behavior Analyst

Behavioral Health & Social Service Providers

13550 SW 88th St Ste 294, Miami, FL 33186-1513

(305) 418-0608 (786) 501-4252

PECOS Enrollment

Based on the most recent information from CMS, provider Isidro Lara does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1093509580
Provider Type
Individual
Full Name
Lara, Isidro
Credential
RBT

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/8/2025
Last Updated
4/8/2025

Contact Information

Practice Location

13550 SW 88th St Ste 294, Miami, FL 33186-1513

Unlisted Fax

Mailing Location

8401 SW 107th Ave Apt 308e, Miami, FL 33173-4348

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License RBT-25421847 Florida