Individual ProviderTeresa SerretBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6604 SW 113th Ave, Miami, FL 33173-1947(786) 537-9559PECOS EnrollmentBased on the most recent information from CMS, provider Teresa Serret 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 yesterday at 2:35 PM.Profile DetailsProvider ID1790387389Provider TypeIndividualFull NameSerret, TeresaGenderFemaleSole ProprietorYesEnumeration Date11/10/2020Last Updated11/10/2020Contact InformationPractice LocationPractice Address6604 SW 113th Ave, Miami, FL 33173-1947Phone(786) 537-9559FaxUnlisted FaxMailing LocationMailing Address6604 SW 113th Ave, Miami, FL 33173-1947Phone(786) 537-9559FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-20-140653Provider IdentifiersIDDescriptionIssuerIDRBT-20-140653DescriptionMedicaidIssuerUnlistedFlorida