Healthcare Provider Details

I. General information

NPI: 1013880996
Provider Name (Legal Business Name): HOPE HARBOR ABA MO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BUZZ ST
BRANSON MO
65616-6701
US

IV. Provider business mailing address

200 BUZZ ST
BRANSON MO
65616-6701
US

V. Phone/Fax

Practice location:
  • Phone: 516-506-1715
  • Fax: 732-498-0220
Mailing address:
  • Phone: 516-506-1715
  • Fax: 732-498-0220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARI DACHS
Title or Position: DIRECTOR
Credential:
Phone: 516-506-1715