Organization
HOPE HARBOR THERAPIES
Active
Other names
Hope Group, Hope Harbor Therapies
Organization subpart
No
Provider details
NPI number
Authorized official
MAIKA FERNANDEZ-WALLACE (PROGRAM DIRECTOR)
(386) 898-6040
Entity
Organization
Contact information
Practice address
210 S BEACH ST STE 200, DAYTONA BEACH, FL 32114-4433
(386) 898-6040
(386) 256-2320
Mailing address
210 S BEACH ST STE 200, DAYTONA BEACH, FL 32114-4433
(386) 898-6040
(386) 256-2320
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019212700
—
FL
05
—
019647200
—
FL
Enumeration date
07/06/2016
Last updated
09/16/2024
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