Individual ProviderYaimiri Gonzalez GonzalezBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3642 SW 13th Ter, Miami, FL 33145-1014(305) 890-4254PECOS EnrollmentBased on the most recent information from CMS, provider Yaimiri Gonzalez Gonzalez 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 ID1902530033Provider TypeIndividualFull NameGonzalez Gonzalez, YaimiriGenderFemaleSole ProprietorYesEnumeration Date7/14/2022Last Updated7/14/2022Contact InformationPractice LocationPractice Address3642 SW 13th Ter, Miami, FL 33145-1014Phone(305) 890-4254FaxUnlisted FaxMailing LocationMailing Address3642 SW 13th Ter, Miami, FL 33145-1014Phone(305) 890-4254FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-20-13594Florida