Individual ProviderLisett Garcia DortaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address16350 SW 45th Ter, Miami, FL 33185-3860(786) 818-4184PECOS EnrollmentBased on the most recent information from CMS, provider Lisett Garcia Dorta 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 12:57 PM.Profile DetailsProvider ID1609524222Provider TypeIndividualFull NameGarcia Dorta, LisettCredentialRBTGenderFemaleSole ProprietorNoEnumeration Date3/14/2022Last Updated3/14/2022Contact InformationPractice LocationPractice Address16350 SW 45th Ter, Miami, FL 33185-3860Phone(786) 818-4184FaxUnlisted FaxMailing LocationMailing Address16350 SW 45th Ter, Miami, FL 33185-3860Phone(786) 818-4184FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-20-137027Florida