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Yailen Gonzalez

Behavior Analyst

Behavioral Health & Social Service Providers

9921 W Okeechobee Rd, Apt 228, Hialeah Gardens, FL 33016

PECOS Enrollment

Based on the most recent information from CMS, provider Yailen 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
1295183861
Provider Type
Individual
Full Name
Gonzalez, Yailen
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/24/2016
Last Updated
8/2/2021

Contact Information

Practice Location

9921 W Okeechobee Rd, Apt 228, Hialeah Gardens, FL 33016

(786) 339-0743

Unlisted Fax

Mailing Location

9921 W Okeechobee Rd, Apt 228, Hialeah Gardens, FL 33016-2195

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License 1-21-50977 Florida
Code 106E00000X	Description Assistant Behavior Analyst Behavioral Health & Social Service Providers	License 0-20-10789 Florida
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer

Yailen Gonzalez

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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