Individual provider · Type 1 NPI

Samantha Grace Defraites

Speech-Language Assistant · Valencia, CA

NPI number 1306565122 Active

Practice location

28212 Kelly Johnson Pkwy Ste 200
Valencia, CA 91355-5090

Mailing address

28212 Kelly Johnson Pkwy
Valencia, CA 91355-5084

Other practice locations

  • 19019 Ventura Blvd, Tarzana, CA 91356-3253 · (818) 501-8352

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801X7133 (CA)

Speech-Language Assistant: Definition to come...

20 other providers at this address

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About NPI 1306565122

Samantha Grace Defraites's National Provider Identifier is 1306565122, issued on Aug 24, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Valencia, CA. The record was last updated on Aug 24, 2022.