Airel Brown

Individual provider Active NPI Speech-Language Assistant · Lake Wales, FL

NPI 1134849680 · NPPES record last updated Sep 2, 2022

Key facts

NPI
1134849680
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
Practice address
427 Burns Ave
Lake Wales, FL 33853-3314
Phone
(863) 679-3338
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Victory Ridge Academy, Inc. Past
since Sep 4, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X FL Yes

Addresses

Primary practice location

427 Burns Ave
Lake Wales, FL 33853-3314

Mailing address

913 Taseschee Dr
Sebring, FL 33870-2466
Phone (863) 273-3589

Other providers in Lake Wales, FL

All providers in Lake Wales, FL · Speech-Language Assistant in Florida

Sources for this page

Verify at the official NPI Registry.