Individual ProviderMariela Yolanda LopezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address10535 SW 69th Ter, Miami, FL 33173-1387(786) 296-3953PECOS EnrollmentBased on the most recent information from CMS, provider Mariela Yolanda Lopez 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 2:35 PM.Profile DetailsProvider ID1144734559Provider TypeIndividualFull NameLopez, Mariela YolandaGenderFemaleSole ProprietorYesEnumeration Date11/21/2017Last Updated2/27/2025Contact InformationPractice LocationPractice Address10535 SW 69th Ter, Miami, FL 33173-1387Phone(786) 296-3953FaxUnlisted FaxMailing LocationMailing Address14761 Harrison St, Miami, FL 33176-7446Phone(786) 296-3953FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-18-53864FloridaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer