Individual ProviderGisselle Maria Martinez PedreraBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address9031 SW 122nd Ave Apt 112, Miami, FL 33186-2015(786) 592-2263PECOS EnrollmentBased on the most recent information from CMS, provider Gisselle Maria Martinez Pedrera 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 2 days ago.Profile DetailsProvider ID1629591912Provider TypeIndividualFull NameMartinez Pedrera, Gisselle MariaGenderFemaleSole ProprietorYesEnumeration Date7/19/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address9031 SW 122nd Ave Apt 112, Miami, FL 33186-2015Phone(786) 592-2263FaxUnlisted FaxMailing LocationMailing Address10260 SW 4th St, Miami, FL 33174-1711Phone(786) 592-2263FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-20-42781Florida