Healthcare Provider Details

I. General information

NPI: 1174488332
Provider Name (Legal Business Name): ONTARIO MONTCLAIR SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4825 BANDERA ST
MONTCLAIR CA
91763-4337
US

IV. Provider business mailing address

950 W D ST
ONTARIO CA
91762-3026
US

V. Phone/Fax

Practice location:
  • Phone: 909-445-1062
  • Fax:
Mailing address:
  • Phone: 909-459-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE ZAMUDIO-ANAYA
Title or Position: SPEECH AND LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 909-533-1917