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Organization
LIGHT OF HOPE BEHAVIOR THERAPY INC
Active
Organization
LIGHT OF HOPE BEHAVIOR THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANIA H PEREZ I IMH (OWNER)
(786) 450-8836
Entity
Organization
Contact information
Practice address
15190 SW 136TH ST STE 4, MIAMI, FL 33196-2618
(786) 701-3109
Mailing address
15190 SW 136TH ST STE 4, MIAMI, FL 33196-2618
(786) 701-3109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
364SP0812X
Community Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261QM0801X
—
FL
Enumeration date
10/14/2016
Last updated
02/03/2025
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