Dayana G Bocanegra

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA12036 Issued in AZ

Practice address

272 E Sagebrush St
Litchfield Park, AZ 85340-4934

Phone

(602) 702-3917

NPI assigned

Aug 10, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1437824695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 S 172ND LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 E SAGEBRUSH ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404934",
            "telephone_number": "602-702-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCANEGRA",
        "first_name": "DAYANA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tuki Biroo-Joseph, RBT
• Sandy C Blake, RN
• Paul Blandino, M.ED.
• Brooke Blidar, RBT
• Blu Advocate Primary Care LLC
• Heather Nicole Bohrisch, PTA, LMT, BCTMB
• Jayde Bolding, RBT
• Aliana Marina Bollinger
• Boston Interventional Pain Center, PLLC
• Boston Interventional Pain Group, PLLC

• Speech-Language Assistant in Litchfield Park, AZ
• Providers in Litchfield Park, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.