BRANDON CLARK SLPA
NPI 1619851615
Specialist/Technologist - Speech-Language Assistant in Victorville, CA

Q: What is Brandon Clark's NPI number?

The NPI number for Brandon Clark is 1619851615. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Q: What is Brandon Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Clark was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2025

14369 PARK AVE STE 201A, VICTORVILLE, CA 92392(760) 278-1484 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brandon Clark Slpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON CLARK SLPA (NPI 1619851615) is an individual speech-language assistant in Victorville, California, licensed in California (SPA5014) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1619851615

Entity TypeIndividualMale

Primary Taxonomy2355S0801X

Provider Legal NameBRANDON CLARKCredential: SLPA

Location Address14369 PARK AVE STE 201AVictorville, CA 92392-2300

Mailing Address1945 Manchester CtSan Jacinto, CA 92582-6903

Phone(760) 278-1484

Sole ProprietorYes

Enumeration DateAugust 4, 2025

NPPES CertifiedAugust 2, 2025

✔ NPI 1619851615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers

Taxonomy Code2355S0801X

License✔ Licensed in CA · SPA5014

14369 PARK AVE STE 201A, Victorville, CA 92392

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOMENTUM SPEECH THERAPY INC

Speech-Language Pathologist

14369 PARK AVE STE 201A
VICTORVILLE, CA 92392

San Bernardino County (760) 278-1484

SEMETRAH ALIMA KINCANNON M.S. CCC SLP

Speech-Language Pathologist

14369 PARK AVE STE 201A
VICTORVILLE, CA 92392

San Bernardino County (760) 278-1484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Clark's NPI number?

The NPI number for Brandon Clark is 1619851615. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Brandon Clark located?

Brandon Clark practices at 14369 Park Ave Ste 201A, Victorville, CA 92392. The listed phone number is (760) 278-1484.

What is Brandon Clark's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Speech-Language Assistant, with taxonomy code 2355S0801X.

When was this NPI record last updated?

The NPPES record for Brandon Clark was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.