Provider Demographics
NPI:1205421476
Name:HOPE ABOUNDS BEHAVIORAL HEALTH, LLC
Entity type:Organization
Organization Name:HOPE ABOUNDS BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, BCBA
Authorized Official - Prefix:
Authorized Official - First Name:CATERINA
Authorized Official - Middle Name:CORSINI
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, BCBA
Authorized Official - Phone:904-525-6080
Mailing Address - Street 1:1962 IBIS POINT LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-1391
Mailing Address - Country:US
Mailing Address - Phone:904-525-6080
Mailing Address - Fax:
Practice Address - Street 1:1962 IBIS POINT LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-1391
Practice Address - Country:US
Practice Address - Phone:904-525-6080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty