Individual ProviderJalani HighBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529(909) 689-9470PECOS EnrollmentBased on the most recent information from CMS, provider Jalani High 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 ID1043982911Provider TypeIndividualFull NameHigh, JalaniGenderMaleSole ProprietorYesEnumeration Date9/29/2021Last Updated9/29/2021Contact InformationPractice LocationPractice Address24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529Phone(909) 689-9470FaxUnlisted FaxMailing LocationMailing Address7211 Haven Ave # E184, Rancho Cucamonga, CA 91701-6064PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia