Healthcare Provider Details

I. General information

NPI: 1124271614
Provider Name (Legal Business Name): SPEECH AND LANGUAGE PATHOLOGY ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16500 VENTURA BLVD STE 414
ENCINO CA
91436-5050
US

IV. Provider business mailing address

16350 VENTURA BLVD STE D-806
ENCINO CA
91436-5300
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-1003
  • Fax: 818-788-1135
Mailing address:
  • Phone: 818-788-1003
  • Fax: 818-788-1135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. RINA BARAK
Title or Position: CEO
Credential: SPEECH-LANGUAGE PATH
Phone: 818-788-1003