Healthcare Provider Details

I. General information

NPI: 1497403752
Provider Name (Legal Business Name): HOPE GROUP CLINICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2005 W 14TH ST STE 121
TEMPE AZ
85281-6917
US

IV. Provider business mailing address

2005 W 14TH ST STE 121
TEMPE AZ
85281-6917
US

V. Phone/Fax

Practice location:
  • Phone: 480-863-0763
  • Fax: 480-535-1091
Mailing address:
  • Phone: 480-863-0763
  • Fax: 480-535-1091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: LORI CAIRNS
Title or Position: OWNER
Credential:
Phone: 480-610-6981