Individual ProviderAlejandra CardesoBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address13500 SW 88th St Unit 285, Miami, FL 33186-1515(786) 409-2646(786) 306-3674PECOS EnrollmentBased on the most recent information from CMS, provider Alejandra Cardeso 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 6 days ago.Profile DetailsProvider ID1235779091Provider TypeIndividualFull NameCardeso, AlejandraCredentialMS,ED-BCBAGenderFemaleSole ProprietorYesEnumeration Date1/9/2020Last Updated12/27/2021Contact InformationPractice LocationPractice Address13500 SW 88th St Unit 285, Miami, FL 33186-1515Phone(786) 409-2646FaxUnlisted FaxMailing LocationMailing Address14263 SW 180th Ter, Miami, FL 33177-2641Phone(786) 306-3674FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-21-56385FloridaCode106E00000XDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicense0-20-11274FloridaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-19-89084Florida