Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brandon Clark, SLPA

Individual provider Speech-Language Assistant · NPI 1619851615

Brandon Clark, SLPA is a Speech-Language Assistant in Victorville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

14369 Park Ave Ste 201A
Victorville, CA 92392-2300
Phone: (760) 278-1484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SPA5014 (CA)

Record details

NPI number1619851615
Entity typeIndividual (Type 1)
GenderMale
Credentials SLPA
Sole proprietorYes
NPI enumeratedAugust 4, 2025
Last updated in NPPESAugust 4, 2025
Certification dateAugust 2, 2025
Mailing address1945 Manchester Ct, San Jacinto, CA 92582-6903

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