Individual ProviderBaneely BarreraBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4719 Viewridge Ave Ste 100, San Diego, CA 92123(866) 727-8274PECOS EnrollmentBased on the most recent information from CMS, provider Baneely Barrera 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 ID1922667211Provider TypeIndividualFull NameBarrera, BaneelyGenderFemaleSole ProprietorNoEnumeration Date6/10/2019Last Updated6/10/2019Contact InformationPractice LocationPractice Address4719 Viewridge Ave Ste 100, San Diego, CA 92123Phone(866) 727-8274FaxUnlisted FaxMailing LocationMailing Address4719 Viewridge Ave Ste 100, San Diego, CA 92123-1685Phone(866) 727-8274FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer