Healthcare Provider Details

I. General information

NPI: 1093355422
Provider Name (Legal Business Name): ALISON MICHELLE QUICK M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 S CHAPARRAL CT
ANAHEIM CA
92808-2239
US

IV. Provider business mailing address

7847 E MENTON AVE
ANAHEIM CA
92808-1557
US

V. Phone/Fax

Practice location:
  • Phone: 714-282-8852
  • Fax:
Mailing address:
  • Phone: 951-805-8693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number38603
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: