| Hope Behavioral Services Llc | |
|
140 S Beach St Ste 301 Daytona Beach FL 32114-4409 | |
| (386) 383-4562 | |
| (386) 256-2320 |
| Full Name | Hope Behavioral Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 140 S Beach St Ste 301, Daytona Beach, Florida |
| Authorized Official Name and Position | Willie Wallace (OWNER/CEO) |
| Authorized Official Contact | 3863834562 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Behavioral Services Llc 140 S Beach St Ste 301 Daytona Beach FL 32114-4409 Ph: (386) 383-4562 | Hope Behavioral Services Llc 140 S Beach St Ste 301 Daytona Beach FL 32114-4409 Ph: (386) 383-4562 |
| NPI Number | 1891317525 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 05/15/2020 |
| Certification Date | 05/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891317525 | NPI | - | NPPES |
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