Individual ProviderIyari EnriquezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500(719) 579-6440PECOS EnrollmentBased on the most recent information from CMS, provider Iyari Enriquez 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 ID1801478672Provider TypeIndividualFull NameEnriquez, IyariGenderFemaleSole ProprietorNoEnumeration Date4/22/2021Last Updated4/22/2021Contact InformationPractice LocationPractice Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500Phone(719) 579-6440FaxUnlisted FaxMailing LocationMailing Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500Phone(719) 579-6440FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer