Healthcare Provider Details

I. General information

NPI: 1902518855
Provider Name (Legal Business Name): SPOT ON SPEECH THERAPY COLLECTIVE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W SHAW AVE STE 118
FRESNO CA
93711-3708
US

IV. Provider business mailing address

771 W SIERRA AVE
CLOVIS CA
93612-0125
US

V. Phone/Fax

Practice location:
  • Phone: 559-473-9619
  • Fax:
Mailing address:
  • Phone: 559-473-9619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE MARTINEZ
Title or Position: OWNER
Credential: M.A, CCC-SLP
Phone: 559-473-9619