Individual ProviderYeidy DominguesBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address5370 W 23rd Ct, Hialeah, FL 33016-2027(786) 901-4630PECOS EnrollmentBased on the most recent information from CMS, provider Yeidy Domingues 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 4 days ago.Profile DetailsProvider ID1356973721Provider TypeIndividualFull NameDomingues, YeidyGenderFemaleSole ProprietorYesEnumeration Date2/4/2020Last Updated9/18/2024Contact InformationPractice LocationPractice Address5370 W 23rd Ct, Hialeah, FL 33016-2027Phone(786) 901-4630FaxUnlisted FaxMailing LocationMailing Address13880 SW 150th Ct, Miami, FL 33196-5037Phone(786) 901-4630FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer