Individual ProviderAlex CamposBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address2100 W 76th St Ste 411, Hialeah, FL 33016-5504(786) 655-9992(786) 612-7186PECOS EnrollmentBased on the most recent information from CMS, provider Alex Campos 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 ID1578058483Provider TypeIndividualFull NameCampos, AlexGenderMaleSole ProprietorYesEnumeration Date6/25/2018Last Updated12/9/2022Contact InformationPractice LocationPractice Address2100 W 76th St Ste 411, Hialeah, FL 33016-5504Phone(786) 655-9992FaxUnlisted FaxMailing LocationMailing Address3921 Battersea Rd, Miami, FL 33133-6705Phone(786) 612-7186FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-20-42228Florida