Provider Demographics
NPI:1538840913
Name:HOPE ABA THERAPY LLC
Entity type:Organization
Organization Name:HOPE ABA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:YUSEINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLE PENA
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:602-335-9758
Mailing Address - Street 1:8050 N 19TH AVE # 106
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-5101
Mailing Address - Country:US
Mailing Address - Phone:602-834-6662
Mailing Address - Fax:
Practice Address - Street 1:3716 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85019-4427
Practice Address - Country:US
Practice Address - Phone:602-834-6662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-27
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty