Individual ProviderAudra WaldrenBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address1250 NE 33rd Ct, Pompano Beach, FL 33064-6228(954) 461-8492PECOS EnrollmentBased on the most recent information from CMS, provider Audra Waldren 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 ID1124479761Provider TypeIndividualFull NameWaldren, AudraTitleMs.GenderFemaleSole ProprietorYesEnumeration Date6/24/2016Last Updated6/24/2016Contact InformationPractice LocationPractice Address1250 NE 33rd Ct, Pompano Beach, FL 33064-6228Phone(954) 461-8492FaxUnlisted FaxMailing LocationMailing Address1250 NE 33rd Ct, Pompano Beach, FL 33064-6228Phone(954) 461-8492FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer