Livan Mena | Miami Lakes, FL • PECOS Search

Livan Mena

Behavior Analyst

Behavioral Health & Social Service Providers

14411 Commerce Way Ste 310, Miami Lakes, FL 33016-1532

PECOS Enrollment

Based on the most recent information from CMS, provider Livan Mena 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 4 days ago.

Profile Details

Provider ID
1144679689
Provider Type
Individual
Full Name
Mena, Livan
Gender
Male

Sole Proprietor
Yes
Enumeration Date
6/6/2016
Last Updated
6/6/2016

Contact Information

Practice Location

14411 Commerce Way Ste 310, Miami Lakes, FL 33016-1532

Unlisted Fax

Mailing Location

7767 Shalimar St, Miramar, FL 33023-2425

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer