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

Kaylene Jordan Ris

Individual provider Speech-Language Pathologist · NPI 1124997705

Kaylene Jordan Ris is a Speech-Language Pathologist in Rockaway Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

320 Beach 104th St
Rockaway Park, NY 11694-2782
Phone: (718) 474-6918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 036180-01 (NY)

Record details

NPI number1124997705
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address320 Beach 104th St, Rockaway Park, NY 11694-2782

Other providers in Rockaway Park