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Organization
HOPEBRIDGE LLC
Active
Organization
HOPEBRIDGE LLC
Active
Parent organization
HOPEBRIDGE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEBRIDGE LLC
Authorized official
ANGIE GRAFF (CREDENTIALING & CONTRACTING MANAGER)
(317) 376-8336
Entity
Organization
Contact information
Practice address
154 CORNERSTONE LN, HOT SPRINGS, AR 71913-6560
(855) 324-0885
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NULL
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
NULL
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/20/2022
Last updated
08/10/2022
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