Individual ProviderWalter Luis RicardoBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address5545 W 24th Ave Apt 206, Hialeah, FL 33016-4776(786) 886-8695PECOS EnrollmentBased on the most recent information from CMS, provider Walter Luis Ricardo 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 4 days ago.Profile DetailsProvider ID1962930651Provider TypeIndividualFull NameRicardo, Walter LuisGenderMaleSole ProprietorNoEnumeration Date5/25/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address5545 W 24th Ave Apt 206, Hialeah, FL 33016-4776Phone(786) 886-8695FaxUnlisted FaxMailing LocationMailing Address5545 W 24th Ave Apt 206, Hialeah, FL 33016-4776Phone(786) 886-8695FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerFlorida