Hopebridge LLC

NPI #1326799768 in Mount Dora, Florida

Provider Information

NPI Number: 1326799768
Entity Type: Organization
Organization Name: Hopebridge LLC
Subpart: Yes (part of a larger organization)
Parent Organization: HOPEBRIDGE LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 18, 2022
Last Updated: Mar 2, 2022

Practice Location

Address: 6909 OLD HIGHWAY 441 S STE 119
City: Mount Dora
State: Florida
ZIP Code: 32757-7039
Phone: (352) 358-5001

Authorized Official

Name: ANGIE GRAFF
Title: CONTRACTING & CREDENTIALING MANAGER
Phone: (317) 376-8336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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