Individual ProviderIvonne VegaBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address2256 SW 16th Ter, Miami, FL 33145-2012(786) 355-0860PECOS EnrollmentBased on the most recent information from CMS, provider Ivonne Vega 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 ID1679135693Provider TypeIndividualFull NameVega, IvonneCredentialRBTGenderFemaleSole ProprietorYesEnumeration Date6/29/2019Last Updated6/29/2019Contact InformationPractice LocationPractice Address2256 SW 16th Ter, Miami, FL 33145-2012Phone(786) 355-0860FaxUnlisted FaxMailing LocationMailing Address2256 SW 16th Ter, Miami, FL 33145-2012Phone(786) 355-0860FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-15-09268FloridaProvider IdentifiersIDDescriptionIssuerID023989400DescriptionMedicaidIssuerUnlistedFlorida