Individual ProviderLidia LimonBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address3160 Crow Canyon Pl, San Ramon, CA 94583-1100(855) 295-3276(818) 241-6780PECOS EnrollmentBased on the most recent information from CMS, provider Lidia Limon 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 ID1992365795Provider TypeIndividualFull NameLimon, LidiaGenderFemaleSole ProprietorNoEnumeration Date6/14/2019Last Updated6/14/2019Contact InformationPractice LocationPractice Address3160 Crow Canyon Pl, San Ramon, CA 94583-1100Phone(855) 295-3276Fax(818) 241-6853Mailing LocationMailing Address1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380Phone(818) 241-6780Fax(818) 241-6853Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer