Individual ProviderCheyenne RossBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529(951) 223-1283PECOS EnrollmentBased on the most recent information from CMS, provider Cheyenne Ross 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 ID1790432441Provider TypeIndividualFull NameRoss, CheyenneGenderFemaleSole ProprietorNoEnumeration Date3/3/2022Last Updated3/3/2022Contact InformationPractice LocationPractice Address24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529Phone(951) 223-1283FaxUnlisted FaxMailing LocationMailing Address24081 Sandy Glade Ave, Moreno Valley, CA 92557-5529PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer