Individual ProviderSharon Isabel CanalesBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address12424 SW 94th Ln, Miami, FL 33186-1845(786) 424-4590PECOS EnrollmentBased on the most recent information from CMS, provider Sharon Isabel Canales 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 6 days ago.Profile DetailsProvider ID1740773878Provider TypeIndividualFull NameCanales, Sharon IsabelCredentialMS, BCBAGenderFemaleSole ProprietorYesEnumeration Date6/13/2018Last Updated8/2/2024Contact InformationPractice LocationPractice Address12424 SW 94th Ln, Miami, FL 33186-1845Phone(786) 424-4590FaxUnlisted FaxMailing LocationMailing Address12711 SW 136th St Apt 1108, Miami, FL 33186-5275Phone(786) 424-4590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-17-28757FloridaProvider IdentifiersIDDescriptionIssuerID017905400DescriptionMedicaidIssuerUnlistedFlorida