Individual ProviderBoendali De LeonCounselorBehavioral Health & Social Service ProvidersPractice Address911 N Buffalo Dr, Unit #213, Las Vegas, NV 89128-0379(702) 942-1774PECOS EnrollmentBased on the most recent information from CMS, provider Boendali De Leon 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 6 days ago.Profile DetailsProvider ID1730510348Provider TypeIndividualFull NameDe Leon, BoendaliTitleMrs.GenderFemaleSole ProprietorYesEnumeration Date12/6/2013Last Updated12/6/2013Contact InformationPractice LocationPractice Address911 N Buffalo Dr, Unit #213, Las Vegas, NV 89128-0379Phone(702) 942-1774Fax(702) 942-1773Mailing LocationMailing Address911 N Buffalo Dr Unit 213, Las Vegas, NV 89128-0381Phone(702) 942-1774FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer