Provider Demographics
NPI:1518790237
Name:ALLEN, HOPE
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:ALLEN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1380 US HIGHWAY 395 N
Mailing Address - Street 2:
Mailing Address - City:GARDNERVILLE
Mailing Address - State:NV
Mailing Address - Zip Code:89410-5200
Mailing Address - Country:US
Mailing Address - Phone:775-525-7937
Mailing Address - Fax:
Practice Address - Street 1:1350 GRAND SUMMIT DR APT 14
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-2554
Practice Address - Country:US
Practice Address - Phone:775-525-7937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician