Individual ProviderMiranda GallardoBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3133 SW 147th Pl, Miami, FL 33185-4044(305) 926-6420PECOS EnrollmentBased on the most recent information from CMS, provider Miranda Gallardo 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 ID1871300731Provider TypeIndividualFull NameGallardo, MirandaCredentialRBTGenderFemaleSole ProprietorYesEnumeration Date12/14/2024Last Updated12/14/2024Contact InformationPractice LocationPractice Address3133 SW 147th Pl, Miami, FL 33185-4044Phone(305) 926-6420FaxUnlisted FaxMailing LocationMailing Address3133 SW 147th Pl, Miami, FL 33185-4044Phone(305) 926-6420FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-24-399812Florida