Provider Demographics
NPI:1518552678
Name:TINY BABBLES SPEECH THERAPY, INC.
Entity Type:Organization
Organization Name:TINY BABBLES SPEECH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/SPEECHLANGUAGEPATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:NOELLE NOVALES
Authorized Official - Last Name:KUNG-GUNION
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:951-290-8147
Mailing Address - Street 1:29970 TECHNOLOGY DR STE 219
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2650
Mailing Address - Country:US
Mailing Address - Phone:951-290-8147
Mailing Address - Fax:
Practice Address - Street 1:29970 TECHNOLOGY DR STE 219
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-2650
Practice Address - Country:US
Practice Address - Phone:951-290-8147
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-01
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty