MEDICARE: HOPE & LOVE ABA CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1427838689
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE & LOVE ABA CORP

Provider Business Mailing Address
First Line	:	5541 W STATE ROAD 80
Second Line	:
City	:	FORT DENAUD
State	:	FL
Zip	:	33935-0400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5541 W STATE ROAD 80
Second Line	:
City	:	FORT DENAUD
State	:	FL
Zip	:	33935-0400
Country	:	US
Telephone Number	:	786-348-4447
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEYDI IGLESIAS
Credential	:
Telephone Number	:	786-348-4447

Provider Enumeration Date	:	10/04/2023
Last Update Date	:	10/04/2023

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Directions to “HOPE & LOVE ABA CORP ” Practice Location

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