Janly Diaz | Miami Lakes, FL • PECOS Search

Janly Diaz

Behavior Analyst

Behavioral Health & Social Service Providers

8040 NW 167th Ter, Miami Lakes, FL 33016-3426

(786) 863-5936 (305) 632-6935

PECOS Enrollment

Based on the most recent information from CMS, provider Janly Diaz 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
1205459096
Provider Type
Individual
Full Name
Diaz, Janly
Gender
Male

Sole Proprietor
Yes
Enumeration Date
5/27/2020
Last Updated
12/13/2024

Contact Information

Practice Location

8040 NW 167th Ter, Miami Lakes, FL 33016-3426

Unlisted Fax

Mailing Location

16233 NW 86th Ct, Miami Lakes, FL 33016-8507

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 12477463 Florida