Individual ProviderDaniella Young-BuitragoBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address13195 SW 136th Street. Suite 201, Miami, FL 33186(786) 206-6500(305) 527-0548PECOS EnrollmentBased on the most recent information from CMS, provider Daniella Young-Buitrago 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 6 days ago.Profile DetailsProvider ID1871000596Provider TypeIndividualFull NameYoung-Buitrago, DaniellaCredentialMA SED. BCBAGenderFemaleSole ProprietorNoEnumeration Date1/3/2018Last Updated2/22/2024Contact InformationPractice LocationPractice Address13195 SW 136th Street. Suite 201, Miami, FL 33186Phone(786) 206-6500FaxUnlisted FaxMailing LocationMailing Address3110 SW 47th Ave, West Park, FL 33023-5578Phone(305) 527-0548FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-21-47607FloridaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-18-49888FloridaProvider IdentifiersIDDescriptionIssuerID024174300DescriptionMedicaidIssuerUnlistedFlorida