Individual ProviderEzekiel PerezBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address8913 Big Plantation Ave, Las Vegas, NV 89143-1112(702) 629-0039PECOS EnrollmentBased on the most recent information from CMS, provider Ezekiel Perez 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 ID1689000416Provider TypeIndividualFull NamePerez, EzekielGenderMaleSole ProprietorYesEnumeration Date9/25/2013Last Updated9/25/2013Contact InformationPractice LocationPractice Address8913 Big Plantation Ave, Las Vegas, NV 89143-1112Phone(702) 629-0039FaxUnlisted FaxMailing LocationMailing Address8913 Big Plantation Ave, Las Vegas, NV 89143-1112PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer