Healthcare Provider Details

I. General information

NPI: 1902644867
Provider Name (Legal Business Name): BLUE HOPE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14603 BLADENBORO DR
CYPRESS TX
77429-4528
US

IV. Provider business mailing address

7676 HILLMONT ST STE 240I
HOUSTON TX
77040-6478
US

V. Phone/Fax

Practice location:
  • Phone: 346-309-8859
  • Fax:
Mailing address:
  • Phone: 346-309-8859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: MIRIELLE MARRERO AMOROS
Title or Position: CEO
Credential:
Phone: 346-309-8859