Healthcare Provider Details

I. General information

NPI: 1659253367
Provider Name (Legal Business Name): ESPERANZA THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5490 N WEST AVE APT 101
FRESNO CA
93711-2952
US

IV. Provider business mailing address

1401 FULTON ST STE 200
FRESNO CA
93721-1646
US

V. Phone/Fax

Practice location:
  • Phone: 559-633-0329
  • Fax:
Mailing address:
  • Phone: 559-348-9225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: KLARISSA NIETO-LOVEJOY
Title or Position: BEHAVIOR TECHNICIAN
Credential:
Phone: 559-633-0329