Provider Demographics
NPI:1275349565
Name:HOPEFUL HORIZON ABA CENTER LLC
Entity type:Organization
Organization Name:HOPEFUL HORIZON ABA CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OGO
Authorized Official - Middle Name:
Authorized Official - Last Name:CHUKWUDOLUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-307-9477
Mailing Address - Street 1:7631 DIGGES VW
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-6340
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7631 DIGGES VW
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-6340
Practice Address - Country:US
Practice Address - Phone:619-307-9477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty