Individual ProviderAnita Renee KylesBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address24534 Dunlavy Ct, Moreno Valley, CA 92557-6371(323) 423-6200PECOS EnrollmentBased on the most recent information from CMS, provider Anita Renee Kyles 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 ID1770152787Provider TypeIndividualFull NameKyles, Anita ReneeTitleMs.GenderFemaleSole ProprietorYesEnumeration Date6/23/2021Last Updated6/23/2021Contact InformationPractice LocationPractice Address24534 Dunlavy Ct, Moreno Valley, CA 92557-6371Phone(323) 423-6200FaxUnlisted FaxMailing LocationMailing Address24534 Dunlavy Ct, Moreno Valley, CA 92557-6371Phone(323) 423-6200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia