Organization
IEPPROS DBA SHINE EDUCATION AND THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BALLESTEROS (EXECUTIVE DIRECTOT)
(714) 822-0551
Entity
Organization
Contact information
Practice address
701 W KIMBERLY AVE STE 264, PLACENTIA, CA 92870-6342
(714) 822-0551
Mailing address
701 W KIMBERLY AVE STE 264, PLACENTIA, CA 92870-6342
(714) 822-0551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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