Liz Dainet De Leon Gonzalez | Hialeah, FL • PECOS Search

Liz Dainet De Leon Gonzalez

Behavior Analyst

Behavioral Health & Social Service Providers

2785 W 70th Pl, Hialeah, FL 33016-5418

PECOS Enrollment

Based on the most recent information from CMS, provider Liz Dainet De Leon Gonzalez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1417739772
Provider Type
Individual
Full Name
De Leon Gonzalez, Liz Dainet
Credential
RBT-23-293145

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/19/2023
Last Updated
10/19/2023

Contact Information

Practice Location

2785 W 70th Pl, Hialeah, FL 33016-5418

Unlisted Fax

Mailing Location

2785 W 70th Pl, Hialeah, FL 33016-5418

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License RBT-23-293145 Florida