Individual
ALEXANDRA SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
(909) 476-5747
Mailing address
4688 ONTARIO MILLS PKWY, ONTARIO, CA 91764-5104
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
16530
CA
235Z00000X
Speech-Language Pathologist
Primary
34668
CA
Other
Enumeration date
08/03/2020
Last updated
02/01/2023
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