Individual ProviderCheyenne Nicole RaforthBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500(800) 345-0448PECOS EnrollmentBased on the most recent information from CMS, provider Cheyenne Nicole Raforth 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 9:43 AM.Profile DetailsProvider ID1790318244Provider TypeIndividualFull NameRaforth, Cheyenne NicoleGenderFemaleSole ProprietorYesEnumeration Date2/12/2020Last Updated2/12/2020Contact InformationPractice LocationPractice Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500Phone(800) 345-0448FaxUnlisted FaxMailing LocationMailing Address1930 Frequent Flyer Pt, Colorado Springs, CO 80915-1500PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerColorado