Individual ProviderMichelle MauryBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address5765 W 25th Ct Apt 409, Hialeah, FL 33016-4459(305) 587-5711PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Maury 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 ID1538698832Provider TypeIndividualFull NameMaury, MichelleCredentialBCBAGenderFemaleSole ProprietorYesEnumeration Date6/8/2017Last Updated1/18/2024Contact InformationPractice LocationPractice Address5765 W 25th Ct Apt 409, Hialeah, FL 33016-4459Phone(305) 587-5711FaxUnlisted FaxMailing LocationMailing Address5765 W 25th Ct Apt 409, Hialeah, FL 33016-4459Phone(305) 587-5711FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-24-70645FloridaProvider IdentifiersIDDescriptionIssuerID022737200DescriptionMedicaidIssuerUnlistedFlorida