Mayra Celis, SLPA
Individual provider Active NPI Speech-Language Assistant · Riverside, CA
NPI 1417394685 · NPPES record last updated May 29, 2013
Key facts
- NPI
- 1417394685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 2112 (CA)
- Practice address
- 6180 Brockton Ave Ste 102
Riverside, CA 92506-2259 - Phone
- (951) 684-6500
- NPI assigned
- May 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2112 | CA | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 2112 | CA | Yes |
Addresses
Primary practice location
6180 Brockton Ave Ste 102
Riverside, CA 92506-2259
Mailing address
15581 Nadia St
Moreno Valley, CA 92551-6918
Other providers in Riverside, CA
- Marlaya E Ceja
- Mirella Ceja
- Raelyn Ruth Ceja
- Alejandra Moneke Celaya
- Angelique N Celestine
- Amber Marie Cendejas-Reyes
- Felipe Mendez Cendejas
- Monique Cendejas
- Sheila Christine Tejada Cendejas
- Kristina Diane Cendrowski
All providers in Riverside, CA · Speech-Language Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.