Alexis Vizcarra | Vista, CA • PECOS Search

Alexis Vizcarra

Behavior Analyst

Behavioral Health & Social Service Providers

707 Civic Center Dr Ste 202, Vista, CA 92084-6162

(760) 294-1206 (619) 207-6086

PECOS Enrollment

Based on the most recent information from CMS, provider Alexis Vizcarra does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1861056954
Provider Type
Individual
Full Name
Vizcarra, Alexis
Credential
BA

Gender
Female
Sole Proprietor
No
Enumeration Date
4/24/2019
Last Updated
4/24/2019

Contact Information

Practice Location

707 Civic Center Dr Ste 202, Vista, CA 92084-6162

Unlisted Fax

Mailing Location

219 Westlake Dr Unit 4, San Marcos, CA 92069-3707

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103K00000X Primary	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer