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NPI Code Detail

MEDICARE: HOPE GROUP CLINICAL

MEDICARE: HOPE GROUP CLINICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1245803857
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPE GROUP CLINICAL
Provider Business Mailing Address
First Line : 2005 W 14TH ST STE 121
Second Line :
City : TEMPE
State : AZ
Zip : 85281-6917
Country : US
Telephone Number : 480-863-0763
Fax Number : 480-535-1091
Provider Business Practice Location Address
First Line : 2005 W 14TH ST STE 121
Second Line :
City : TEMPE
State : AZ
Zip : 85281-6917
Country : US
Telephone Number : 480-863-0763
Fax Number : 480-535-1091
Authorized Official
Title or Position : CEO
Name : STACY L SMITH
Credential : MBA
Telephone Number : 480-826-3005
Provider Enumeration Date : 07/21/2021
Last Update Date : 03/19/2026

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1912724980 — LIAM RYAN
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1124844394 — JACQUELYNN GREER
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1386459873 — MAASAI WILLIAM HARRIS
Practice Location Address:
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Directions to “HOPE GROUP CLINICAL ” Practice Location

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