Individual ProviderStephany UlloaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address15000 SW 49th Ln Apt C, Miami, FL 33185-4258(305) 781-3273PECOS EnrollmentBased on the most recent information from CMS, provider Stephany Ulloa 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 ID1104562008Provider TypeIndividualFull NameUlloa, StephanyGenderFemaleSole ProprietorNoEnumeration Date5/12/2022Last Updated5/12/2022Contact InformationPractice LocationPractice Address15000 SW 49th Ln Apt C, Miami, FL 33185-4258Phone(305) 781-3273FaxUnlisted FaxMailing LocationMailing Address15000 SW 49th Ln Apt C, Miami, FL 33185-4258Phone(305) 781-3273FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-22-212027Florida