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

Casondra Clark

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1558210658

Casondra Clark is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Surprise, Arizona. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

17874 W Bloomfield Rd
Surprise, AZ 85388-5619
Phone: (480) 465-2920
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X

Record details

NPI number1558210658
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address17874 W Bloomfield Rd, Surprise, AZ 85388-5619

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