Organization
CONSCIOUS KIDS SPEECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY ENCARNACION (FINANCE MANAGER)
(714) 388-0474
Entity
Organization
Contact information
Practice address
16430 BAKE PKWY, IRVINE, CA 92618-4665
(714) 767-4495
(949) 271-2310
Mailing address
16430 BAKE PKWY, IRVINE, CA 92618-4665
(714) 767-4495
(949) 271-2310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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