Healthcare Provider Details

I. General information

NPI: 1710813795
Provider Name (Legal Business Name): JALIYAH ROMESHA TRANAY CUNNINGHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36700 PICKFAIR ST APT 15
CATHEDRAL CITY CA
92234-1323
US

IV. Provider business mailing address

36700 PICKFAIR ST APT 15
CATHEDRAL CITY CA
92234-1323
US

V. Phone/Fax

Practice location:
  • Phone: 760-844-8145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: