Individual ProviderIleana Verdecia MichelenaAssistant Behavior AnalystBehavioral Health & Social Service ProvidersPractice Address35 W 36th Pl, Hialeah, FL 33012-5262(786) 439-9589PECOS EnrollmentBased on the most recent information from CMS, provider Ileana Verdecia Michelena 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 12:57 PM.Profile DetailsProvider ID1861948960Provider TypeIndividualFull NameVerdecia Michelena, IleanaGenderFemaleSole ProprietorYesEnumeration Date8/29/2016Last Updated8/6/2021Contact InformationPractice LocationPractice Address35 W 36th Pl, Hialeah, FL 33012-5262Phone(786) 439-9589FaxUnlisted FaxMailing LocationMailing Address35 W 36th Pl, Hialeah, FL 33012-5262Phone(786) 439-9589FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106E00000XPrimaryDescriptionAssistant Behavior AnalystBehavioral Health & Social Service ProvidersLicense0-19-10394FloridaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer