| Hope Behavioral Servies, Llc | |
|
3416 S Dixon Rd Ste B Kokomo IN 46902-5644 | |
| (765) 210-1284 | |
| (765) 319-0605 |
| Full Name | Hope Behavioral Servies, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3416 S Dixon Rd Ste B, Kokomo, Indiana |
| Authorized Official Name and Position | Beverly Forrey (OWNER) |
| Authorized Official Contact | 7652101284 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope Behavioral Servies, Llc 3821 Red Bud Ln Kokomo IN 46902-4382 Ph: (765) 210-1284 | Hope Behavioral Servies, Llc 3416 S Dixon Rd Ste B Kokomo IN 46902-5644 Ph: (765) 210-1284 |
| NPI Number | 1871088369 |
|---|---|
| Provider Enumeration Date | 06/27/2018 |
| Last Update Date | 08/12/2021 |
| Certification Date | 08/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871088369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Indiana) | Primary |
| 251S00000X | Community/behavioral Health | (Indiana) | Secondary |
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