Individual ProviderAnisley Diaz AlonsoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2751 SW 16th St, Miami, FL 33145-1139(305) 709-7122PECOS EnrollmentBased on the most recent information from CMS, provider Anisley Diaz Alonso 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 ID1265009872Provider TypeIndividualFull NameDiaz Alonso, AnisleyGenderFemaleSole ProprietorYesEnumeration Date6/10/2021Last Updated6/10/2021Contact InformationPractice LocationPractice Address2751 SW 16th St, Miami, FL 33145-1139Phone(305) 709-7122FaxUnlisted FaxMailing LocationMailing Address2751 SW 16th St, Miami, FL 33145-1139Phone(305) 709-7122FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer