Individual ProviderDairelys MejiaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address16636 SW 47 Terra, Miami, FL 33185(786) 942-2271PECOS EnrollmentBased on the most recent information from CMS, provider Dairelys Mejia 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 ID1619515525Provider TypeIndividualFull NameMejia, DairelysCredentialRBTGenderFemaleSole ProprietorYesEnumeration Date12/11/2019Last Updated12/11/2019Contact InformationPractice LocationPractice Address16636 SW 47 Terra, Miami, FL 33185Phone(786) 942-2271FaxUnlisted FaxMailing LocationMailing Address16636 SW 47 Terra, Miami, FL 33185Phone(786) 942-2271FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-19-102138FloridaProvider IdentifiersIDDescriptionIssuerID104558400DescriptionMedicaidIssuerUnlistedFlorida