# THE HOPE SCHOOL DBA THE AUTISM CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528432119
- **Authorized official:** LEIGH GRANNAN (CLINIC DIRECTOR)
- **Authorized official phone:** (217) 588-7622

## Contact information

- **Practice address:** 5220 S 6TH STREET RD, SUITE 1700, SPRINGFIELD, IL 62703-5735
- **Practice address phone:** (217) 588-7622
- **Mailing address:** 5220 S 6TH STREET RD, SUITE 1700, SPRINGFIELD, IL 62703-5735
- **Mailing address phone:** (217) 588-7622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |
| 225XP0200X | Pediatric Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 11/19/2015
- **Last updated:** 11/19/2015