Avery Brenner
Specialist/Technologist, Speech-Language Assistant in Ontario, CA. Individual provider (NPI-1).
NPI number1821929563
StatusActive
Last updated in NPPESMay 28, 2026
Details
- NPI
- 1821929563
- Entity type
- Individual (NPI-1)
- Name
- Avery Brenner
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2026
- Certification date
- May 28, 2026
- Last updated
- May 28, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | 8993 | CA | Yes |
Practice location
1500 S Haven Ave Ste 190Ontario, CA 91761-2971
Phone 909-390-1313
Mailing address
1500 S Haven Ave Ste 190Ontario, CA 91761-2971
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 88 Speech-Language Assistant providers in Ontario · All 6,249 providers in Ontario
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