Healthcare Provider Details

I. General information

NPI: 1871486282
Provider Name (Legal Business Name): SUNLIGHT SPEECH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2898 MAHAN DR STE 4
TALLAHASSEE FL
32308-5462
US

IV. Provider business mailing address

5505 HAMPTON WOODS WAY
TALLAHASSEE FL
32311-8106
US

V. Phone/Fax

Practice location:
  • Phone: 850-328-5011
  • Fax:
Mailing address:
  • Phone: 478-284-7645
  • 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 Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CORA MONIQUE SANDERS
Title or Position: OWNER, SPEECH LANGUAGE PATHOLOGIST
Credential: M.ED., CCC-SLP
Phone: 478-284-7645