MEDICARE: BLUE HOPE THERAPY SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	106E00000X	Assistant Behavior Analyst
3	106S00000X	Behavior Technician
4	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851811574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLUE HOPE THERAPY SERVICES INC

Provider Business Mailing Address
First Line	:	10700 SW 46TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4839
Country	:	US
Telephone Number	:	786-907-4925
Fax Number	:	786-907-4972

Provider Business Practice Location Address
First Line	:	10700 SW 46TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4839
Country	:	US
Telephone Number	:	786-907-4925
Fax Number	:	786-907-4972

Authorized Official
Title or Position	:	OWNER/OFFICE DIRECTOR
Name	:	GEZABEL HERNANDEZ RODRIGUEZ
Credential	:	RBT-15-07989
Telephone Number	:	786-907-4925

Provider Enumeration Date	:	06/23/2017
Last Update Date	:	03/29/2023

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Directions to “BLUE HOPE THERAPY SERVICES INC ” Practice Location

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