Alyssa Aguilar, SPA 3774

Individual provider Active NPI Speech-Language Assistant · Valencia, CA

NPI 1104371830 · NPPES record last updated Aug 23, 2016

Key facts

NPI
1104371830
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SPA 3774 (CA)
Practice address
28093 Smyth Dr
Valencia, CA 91355-4023
Phone
(661) 295-0181
Fax
(661) 295-9776
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SPA 3774CAMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SPA 3774 CA Yes

Addresses

Primary practice location

28093 Smyth Dr
Valencia, CA 91355-4023

Mailing address

28093 Smyth Dr
Valencia, CA 91355-4023
Phone (661) 295-0181

Other providers in Valencia, CA

All providers in Valencia, CA · Speech-Language Assistant in California

Sources for this page

Verify at the official NPI Registry.