Basha Ontiveros, MS, CCC-SLP
Basha Ontiveros, MS, CCC-SLP is a Speech-Language Pathologist in Bloomington, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
Practice location Address checks out
2416 E Washington St Ste C5Bloomington, IL 61704-1629
Phone: (913) 730-5925
Fax: (202) 931-7876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 146007682 (IL) |
|---|
Record details
| NPI number | 1629083423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MS , CCC-SLP |
| Sole proprietor | No |
| NPI enumerated | July 30, 2006 |
| Last updated in NPPES | August 22, 2022 |
| Certification date | August 22, 2022 |
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