Jaqueline Sofia Ceballos

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPA000601 Issued in GA

Practice address

1130 Hurricane Shoals Rd NE Ste 2300
Lawrenceville, GA 30043-4871

Phone

(470) 323-6711

Fax

(478) 575-2359

NPI assigned

Dec 16, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1831053511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLEARWATER PL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446834",
            "telephone_number": "404-944-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HURRICANE SHOALS RD NE STE 2300",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434871",
            "telephone_number": "470-323-6711",
            "fax_number": "478-575-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS",
        "first_name": "JAQUELINE",
        "middle_name": "SOFIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLPA000601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis Cavallo, D.C.
• Cavells Inc
• Rachel Caylor
• Caz Goodman, D.C., P.a.
• Bianca Ceballos
• Maria Veronica Cedeno, AGACNP-BC
• Marie Alice Cedor
• Maria Ceja
• Johnatran Celestin
• Steven M Celestin, M.D.

• Speech-Language Pathologist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.