Individual ProviderLeidy RodriguezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address6200 SW 109th Ave, Miami, FL 33173-1251(561) 538-7579PECOS EnrollmentBased on the most recent information from CMS, provider Leidy Rodriguez 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 ID1861085037Provider TypeIndividualFull NameRodriguez, LeidyGenderFemaleSole ProprietorYesEnumeration Date2/18/2021Last Updated2/18/2021Contact InformationPractice LocationPractice Address6200 SW 109th Ave, Miami, FL 33173-1251Phone(561) 538-7579FaxUnlisted FaxMailing LocationMailing Address6200 SW 109th Ave, Miami, FL 33173-1251Phone(561) 538-7579FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-20-128411Florida