Individual ProviderAlissa Marie DeshotelsBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address4301 N Federal Hwy, Suite 2 South, Pompano Beach, FL 33064-6519(888) 880-9270PECOS EnrollmentBased on the most recent information from CMS, provider Alissa Marie Deshotels 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 ID1336576362Provider TypeIndividualFull NameDeshotels, Alissa MarieGenderFemaleSole ProprietorNoEnumeration Date10/4/2013Last Updated10/4/2013Contact InformationPractice LocationPractice Address4301 N Federal Hwy, Suite 2 South, Pompano Beach, FL 33064-6519Phone(888) 880-9270Fax(954) 342-0273Mailing LocationMailing Address13744 Briarlake Ave, Baton Rouge, LA 70809-5526PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode222Q00000XDescriptionDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer