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

Khadijah Victoria Rose, BASLPA

Individual provider Speech-Language Assistant · NPI 1679115422

Khadijah Victoria Rose, BASLPA is a Speech-Language Assistant in Brooksville, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

297 N Broad St
Brooksville, FL 34601-2925
Phone: (352) 796-0069
Fax: (352) 796-9194
Show map & directions

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

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X

Record details

NPI number1679115422
Entity typeIndividual (Type 1)
GenderFemale
Credentials BASLPA
Sole proprietorYes
NPI enumeratedOctober 14, 2019
Last updated in NPPESOctober 14, 2019

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