Yudisleidy De La Caridad Gonzalez | Hialeah, FL • PECOS Search

Yudisleidy De La Caridad Gonzalez

Behavior Analyst

Behavioral Health & Social Service Providers

7600 W 20th Ave Ste 108, Hialeah, FL 33016-1895

(786) 534-5482 (786) 801-4944

PECOS Enrollment

Based on the most recent information from CMS, provider Yudisleidy De La Caridad Gonzalez 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
1225548811
Provider Type
Individual
Full Name
Gonzalez, Yudisleidy De La Caridad
Gender
Female

Sole Proprietor
No
Enumeration Date
10/9/2017
Last Updated
10/9/2017

Contact Information

Practice Location

7600 W 20th Ave Ste 108, Hialeah, FL 33016-1895

(305) 503-7208

Mailing Location

3071 NW 100th St, Miami, FL 33147-2070

Unlisted Fax

Provider Taxonomies

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