Provider Demographics
NPI:1235814021
Name:MONTES, ARYANNA ANGELICA (BA, SLPA)
Entity Type:Individual
Prefix:
First Name:ARYANNA
Middle Name:ANGELICA
Last Name:MONTES
Suffix:
Gender:F
Credentials:BA, SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3064 LARAMIE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3228
Mailing Address - Country:US
Mailing Address - Phone:951-565-0719
Mailing Address - Fax:
Practice Address - Street 1:11870 PIERCE ST STE 150
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-6600
Practice Address - Country:US
Practice Address - Phone:951-808-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60992355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant