Individual ProviderAndrea BazoBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address12485 SW 137th Ave, Miami, FL 33186(305) 846-9807PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Bazo 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 ID1861931164Provider TypeIndividualFull NameBazo, AndreaGenderFemaleSole ProprietorNoEnumeration Date2/20/2017Last Updated2/20/2017Contact InformationPractice LocationPractice Address12485 SW 137th Ave, Miami, FL 33186Phone(305) 846-9807FaxUnlisted FaxMailing LocationMailing Address12485 SW 137th Ave, #301, Miami, FL 33186PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer