Individual ProviderRosalba HernandezBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address8524 Gracious Pine Ave, Las Vegas, NV 89143-4609(702) 326-7428PECOS EnrollmentBased on the most recent information from CMS, provider Rosalba Hernandez 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 2 days ago.Profile DetailsProvider ID1255612230Provider TypeIndividualFull NameHernandez, RosalbaGenderFemaleSole ProprietorYesEnumeration Date9/2/2011Last Updated9/2/2011Contact InformationPractice LocationPractice Address8524 Gracious Pine Ave, Las Vegas, NV 89143-4609Phone(702) 326-7428FaxUnlisted FaxMailing LocationMailing Address8524 Gracious Pine Ave, Las Vegas, NV 89143-4609Phone(702) 326-7428FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer