Individual
ASHLEY KRISTINE BANTEGUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
12881 KNOTT ST STE 103, GARDEN GROVE, CA 92841-3939
(714) 892-6828
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3892
(714) 639-4990
(714) 844-3841
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2971
CA
Other
Enumeration date
01/02/2018
Last updated
04/18/2019
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