Organization
2 HOPE BEHAVIORAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBELIN BUSTAMANTE (OWNER)
(786) 300-5184
Entity
Organization
Contact information
Practice address
3401 S 78TH ST, TAMPA, FL 33619-6513
(813) 453-0502
(813) 885-6092
Mailing address
3401 S 78TH ST, TAMPA, FL 33619-6513
(813) 453-0502
(813) 885-6092
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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