Individual ProviderDianadys Victoria Lopez CastellanosBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address11310 SW 57th St, Miami, FL 33173-1002(786) 728-7107PECOS EnrollmentBased on the most recent information from CMS, provider Dianadys Victoria Lopez Castellanos 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 ID1568352649Provider TypeIndividualFull NameLopez Castellanos, Dianadys VictoriaTitleMs.CredentialRBTGenderFemaleSole ProprietorNoEnumeration Date7/8/2025Last Updated7/8/2025Contact InformationPractice LocationPractice Address11310 SW 57th St, Miami, FL 33173-1002Phone(786) 728-7107FaxUnlisted FaxMailing LocationMailing Address11310 SW 57th St, Miami, FL 33173-1002Phone(786) 728-7107FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseBACB1291292Florida