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Alberto Reconde Lorenzo

Assistant Behavior Analyst

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Alberto Reconde Lorenzo 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1427713593
Provider Type
Individual
Full Name
Reconde Lorenzo, Alberto
Gender
Male

Sole Proprietor
No
Enumeration Date
11/3/2021
Last Updated
12/23/2021

Contact Information

Practice Location

1351 W 32nd St, Hialeah, FL 33012-4824

(786) 768-7945

Unlisted Fax

Mailing Location

1351 W 32nd St, Hialeah, FL 33012-4824

(786) 768-7945

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106E00000X Primary	Description Assistant Behavior Analyst Behavioral Health & Social Service Providers	License 02113156 Florida
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License 21-166235 Florida

Provider Identifiers

ID	Description	Issuer
ID 112834700	Description Medicaid	Issuer Unlisted Florida

Alberto Reconde Lorenzo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cue Rodriguez, Yamilka

Arrebato, Mahelys

Galan, Maria E. Gonzalez

Sosa Garcia, Belquis

Garcia San Juan, Ailyn

Ferrer, Hermes

Lemus Lopez, Adriana

Mirebeau, Charlotte Da Cruz

Verdecia Michelena, Ileana

Del Pino Valero, Leticia