Individual ProviderCharles Lorenzo DamonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3103 SW 150th Ct, Miami, FL 33185-3986(786) 538-8570PECOS EnrollmentBased on the most recent information from CMS, provider Charles Lorenzo Damon 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 yesterday at 12:57 PM.Profile DetailsProvider ID1306359658Provider TypeIndividualFull NameDamon, Charles LorenzoTitleMr.CredentialRBTGenderMaleSole ProprietorYesEnumeration Date11/8/2017Last Updated9/9/2024Contact InformationPractice LocationPractice Address3103 SW 150th Ct, Miami, FL 33185-3986Phone(786) 538-8570FaxUnlisted FaxMailing LocationMailing Address3103 SW 150th Ct, Miami, FL 33185-3986Phone(786) 538-8570FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicense24-375913Florida