Individual ProviderElizabeth Aguila AlfonsoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1853 SW 17th St Apt 4, Miami, FL 33145-1485(786) 372-5677PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Aguila Alfonso 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 ID1114781259Provider TypeIndividualFull NameAguila Alfonso, ElizabethGenderFemaleSole ProprietorNoEnumeration Date2/8/2024Last Updated2/8/2024Contact InformationPractice LocationPractice Address1853 SW 17th St Apt 4, Miami, FL 33145-1485Phone(786) 372-5677FaxUnlisted FaxMailing LocationMailing Address1853 SW 17th St Apt 4, Miami, FL 33145-1485Phone(786) 372-5677FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseBACB957631Florida