Individual ProviderPriscilla Ann MendezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address12125 Day St Ste 600, Moreno Valley, CA 92557-6702(951) 344-2166PECOS EnrollmentBased on the most recent information from CMS, provider Priscilla Ann Mendez 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 ID1881462976Provider TypeIndividualFull NameMendez, Priscilla AnnGenderFemaleSole ProprietorNoEnumeration Date12/18/2023Last Updated12/18/2023Contact InformationPractice LocationPractice Address12125 Day St Ste 600, Moreno Valley, CA 92557-6702Phone(951) 344-2166FaxUnlisted FaxMailing LocationMailing Address996 Royal Marco Way, Marco Island, FL 34145-1829PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia