Provider Demographics
NPI:1417772153
Name:HOPEFUL HORIZONS, LLC
Entity type:Organization
Organization Name:HOPEFUL HORIZONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ABA THERAPIST / SPECIAL INSTRUCTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-766-8906
Mailing Address - Street 1:11811 SUTPHIN BLVD UNIT 98221
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-2061
Mailing Address - Country:US
Mailing Address - Phone:347-766-8906
Mailing Address - Fax:
Practice Address - Street 1:133-09 143RD ST
Practice Address - Street 2:
Practice Address - City:QUEENS
Practice Address - State:NY
Practice Address - Zip Code:11436
Practice Address - Country:US
Practice Address - Phone:347-766-8906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No251B00000XAgenciesCase Management