Mailen Mursuli | Miami, FL • PECOS Search

Mailen Mursuli

Behavior Technician

Behavioral Health & Social Service Providers

2103 Coral Way Ste 603, Miami, FL 33145-2656

(786) 464-0353 (786) 554-2874

PECOS Enrollment

Based on the most recent information from CMS, provider Mailen Mursuli does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1699549527
Provider Type
Individual
Full Name
Mursuli, Mailen
Gender
Female

Sole Proprietor
Yes
Enumeration Date
11/10/2023
Last Updated
11/10/2023

Contact Information

Practice Location

2103 Coral Way Ste 603, Miami, FL 33145-2656

(786) 483-8142

Mailing Location

15101 SW 297th St, Homestead, FL 33033-3705

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License 21-175572 Florida