OrganizationVictory Brt, CorpBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address2101 W 76th St, Hialeah, FL 33016-1834(786) 773-3393PECOS EnrollmentBased on the most recent information from CMS, provider Victory Brt, Corp 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 ID1457751380Provider TypeOrganizationFull NameVictory Brt, CorpSubpartNoEnumeration Date8/28/2014Last Updated2/12/2025Contact InformationPractice LocationPractice Address2101 W 76th St, Hialeah, FL 33016-1834Phone(786) 773-3393FaxUnlisted FaxMailing LocationMailing Address2101 W 76th St, Hialeah, FL 33016-1834Phone(786) 773-3393FaxUnlisted FaxAuthorized OfficialNameNunez Rodriguez, Adolfo L (Ceo)Phone(786) 832-0166Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID017428100DescriptionMedicaidIssuerUnlistedFloridaID010392800DescriptionMedicaidIssuerUnlistedFlorida