Individual ProviderBrenda Liz GonzalezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6624 S 196th St Ste 107, Kent, WA 98032-3113(800) 249-1266PECOS EnrollmentBased on the most recent information from CMS, provider Brenda Liz Gonzalez 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 35 days ago.Profile DetailsProvider ID1114583838Provider TypeIndividualFull NameGonzalez, Brenda LizGenderFemaleSole ProprietorNoEnumeration Date5/17/2019Last Updated5/17/2019Contact InformationPractice LocationPractice Address6624 S 196th St Ste 107, Kent, WA 98032-3113Phone(800) 249-1266FaxUnlisted FaxMailing LocationMailing Address1301 E Orangewood Ave, Anaheim, CA 92805-6807Phone(800) 249-1266FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer