Provider Demographics
NPI:1124657457
Name:HOPE ABA LLC
Entity type:Organization
Organization Name:HOPE ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:LEE BROCK
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:912-445-6063
Mailing Address - Street 1:10221 FORD AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-0259
Mailing Address - Country:US
Mailing Address - Phone:912-445-6063
Mailing Address - Fax:912-445-6064
Practice Address - Street 1:10221 FORD AVE STE 1
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-0259
Practice Address - Country:US
Practice Address - Phone:912-445-6063
Practice Address - Fax:912-445-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty