Individual ProviderBianca Nicole SandovalBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address9231 SW 57th Ter, Miami, FL 33173-1657(786) 606-0835PECOS EnrollmentBased on the most recent information from CMS, provider Bianca Nicole Sandoval 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 2:35 PM.Profile DetailsProvider ID1396344503Provider TypeIndividualFull NameSandoval, Bianca NicoleGenderFemaleSole ProprietorNoEnumeration Date10/19/2020Last Updated10/19/2020Contact InformationPractice LocationPractice Address9231 SW 57th Ter, Miami, FL 33173-1657Phone(786) 606-0835FaxUnlisted FaxMailing LocationMailing Address9231 SW 57th Ter, Miami, FL 33173-1657Phone(786) 606-0835FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-20-123047