Healthcare Provider Details

I. General information

NPI: 1003743352
Provider Name (Legal Business Name): BOBBIE HOPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1626 RIO COVE CT
ORLANDO FL
32825-8315
US

IV. Provider business mailing address

5740 FOLKSTONE LN
ORLANDO FL
32822-9401
US

V. Phone/Fax

Practice location:
  • Phone: 407-917-0416
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-534798
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: