Healthcare Provider Details

I. General information

NPI: 1528841921
Provider Name (Legal Business Name): CLAUDIA PLASCENCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2023
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 E SOUTHERN AVE
TEMPE AZ
85282-5814
US

IV. Provider business mailing address

1233 S GILBERT RD APT 3305
GILBERT AZ
85296-4293
US

V. Phone/Fax

Practice location:
  • Phone: 480-489-3925
  • Fax:
Mailing address:
  • Phone: 562-395-8477
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA16298
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: