Provider Demographics
NPI:1700638749
Name:WALKING WITH HOPE CORP
Entity Type:Organization
Organization Name:WALKING WITH HOPE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:MILMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEYVA QUEIJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-416-3576
Mailing Address - Street 1:8600 NW SOUTH RIVER DR STE 116
Mailing Address - Street 2:
Mailing Address - City:MEDLEY
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7445
Mailing Address - Country:US
Mailing Address - Phone:786-416-3576
Mailing Address - Fax:
Practice Address - Street 1:8600 NW SOUTH RIVER DR STE 116
Practice Address - Street 2:
Practice Address - City:MEDLEY
Practice Address - State:FL
Practice Address - Zip Code:33166-7445
Practice Address - Country:US
Practice Address - Phone:786-416-3576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty