Individual ProviderLisandra Judith Bauta CubenasBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address7136 SW 103rd Pl, Miami, FL 33173-1377(786) 470-4624PECOS EnrollmentBased on the most recent information from CMS, provider Lisandra Judith Bauta Cubenas 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 2:35 PM.Profile DetailsProvider ID1992421515Provider TypeIndividualFull NameBauta Cubenas, Lisandra JudithGenderFemaleSole ProprietorNoEnumeration Date10/14/2022Last Updated10/14/2022Contact InformationPractice LocationPractice Address7136 SW 103rd Pl, Miami, FL 33173-1377Phone(786) 470-4624FaxUnlisted FaxMailing LocationMailing Address7136 SW 103rd Pl, Miami, FL 33173-1377Phone(786) 470-4624FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerFlorida