OrganizationEarly Ba LlcBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address2488 W 64th Pl, Hialeah, FL 33016-4386(800) 987-1209PECOS EnrollmentBased on the most recent information from CMS, provider Early Ba Llc 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 4 days ago.Profile DetailsProvider ID1760914881Provider TypeOrganizationFull NameEarly Ba LlcSubpartNoEnumeration Date3/29/2017Last Updated10/25/2024Contact InformationPractice LocationPractice Address2488 W 64th Pl, Hialeah, FL 33016-4386Phone(800) 987-1209Fax(305) 647-2160Mailing LocationMailing Address2488 W 64th Pl, Hialeah, FL 33016-4386Phone(800) 987-1209Fax(305) 647-2160Authorized OfficialNameLima, Edwell (Mgr)Phone(786) 487-3209Provider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID020445900DescriptionMedicaidIssuerUnlistedFlorida