Healthcare Provider Details

I. General information

NPI: 1205704459
Provider Name (Legal Business Name): ABUNDANT HOPE DEVELOPMENTAL SUPPORTS CT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 BUENA VISTA RD
SUFFERN NY
10901-1730
US

IV. Provider business mailing address

22 BUENA VISTA RD
SUFFERN NY
10901-1730
US

V. Phone/Fax

Practice location:
  • Phone: 718-501-7376
  • Fax:
Mailing address:
  • Phone: 718-501-7376
  • 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
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YUDAH JUNGER
Title or Position: OWNER
Credential:
Phone: 718-501-7376