Individual ProviderCameron S. ChangBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address4317 Hale Ranch Ln, Fair Oaks, CA 95628-6400(916) 425-3475PECOS EnrollmentBased on the most recent information from CMS, provider Cameron S. Chang 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 ID1134956881Provider TypeIndividualFull NameChang, Cameron S.GenderMaleSole ProprietorYesEnumeration Date9/17/2024Last Updated9/17/2024Contact InformationPractice LocationPractice Address4317 Hale Ranch Ln, Fair Oaks, CA 95628-6400Phone(916) 425-3475FaxUnlisted FaxMailing LocationMailing Address6400 Tupelo Dr, Citrus Heights, CA 95621-1741PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer