Renee L Chavez

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

NPI 1912500752 · NPPES record last updated Nov 16, 2020

Key facts

NPI
1912500752
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
6144 (CA)
Practice address
27076 Cypress St
Highland, CA 92346-3662
Phone
(909) 366-9344
NPI assigned
Nov 16, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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
Shine Bright Speech and Language Therapy Corp. Speech-Language Assistant Current
since May 1, 2021
Accepting new patients
Shine Bright Network LLC Current
since Nov 22, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 6144 CA Yes

Addresses

Primary practice location

27076 Cypress St
Highland, CA 92346-3662

Mailing address

39656 Cholla CT
Murrieta, CA 92563-8217
Phone (951) 907-1664

Other providers in Highland, CA

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

Sources for this page

Verify at the official NPI Registry.