Individual ProviderJessica Geselle CarbajalBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529(626) 372-6369PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Geselle Carbajal 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 ID1154090298Provider TypeIndividualFull NameCarbajal, Jessica GeselleGenderFemaleSole ProprietorYesEnumeration Date9/11/2021Last Updated9/11/2021Contact InformationPractice LocationPractice Address24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529Phone(626) 372-6369FaxUnlisted FaxMailing LocationMailing Address24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCalifornia