Individual ProviderLeonides J MendozaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address14943 SW 53rd Ln, Miami, FL 33185-4024(305) 922-6054PECOS EnrollmentBased on the most recent information from CMS, provider Leonides J Mendoza 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 ID1376419713Provider TypeIndividualFull NameMendoza, Leonides JGenderMaleSole ProprietorYesEnumeration Date10/14/2025Last Updated10/14/2025Contact InformationPractice LocationPractice Address14943 SW 53rd Ln, Miami, FL 33185-4024Phone(305) 922-6054FaxUnlisted FaxMailing LocationMailing Address14943 SW 53rd Ln, Miami, FL 33185-4024Phone(305) 922-6054FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-25-442491Florida