Healthcare Provider Details

I. General information

NPI: 1326981176
Provider Name (Legal Business Name): BCBA4HOPE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2026
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE A
DOVER DE
19901-3618
US

IV. Provider business mailing address

10 GLENLAKE PKWY STE 130
ATLANTA GA
30328-3495
US

V. Phone/Fax

Practice location:
  • Phone: 855-507-8741
  • Fax: 678-222-3401
Mailing address:
  • Phone: 855-507-8741
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: CHERYL MARTIN
Title or Position: BCBA, FOUNDER
Credential:
Phone: 979-799-8741