MEDICARE: HOPE C WRIGHT

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1619651924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE C WRIGHT

Provider Business Mailing Address
First Line	:	PO BOX 1679 #4425
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95812
Country	:	US
Telephone Number	:	916-871-5020
Fax Number	:

Provider Business Practice Location Address
First Line	:	2865 SUNRISE BLVD
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95742-6538
Country	:	US
Telephone Number	:	805-778-8735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2023
Last Update Date	:	06/22/2023

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Directions to “ HOPE C WRIGHT ” Practice Location

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