Active NPI
Daisy Hope Behavioral Services LLC
- Early Intervention Provider Agency
- Coeur D Alene, ID
National Provider Identifier
1558029322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- DAISY HOPE BEHAVIORAL SERVICES LLC
- Practice address
- 3254 N 10TH St
Coeur D Alene, ID 83815-5060 - Phone
- (208) 242-8839
- NPI assigned
- Nov 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Coppa, BCBA
- Title
- Agency Director
- Phone
- (208) 242-8839
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
3254 N 10TH St
Coeur D Alene, ID 83815-5060
Mailing address
PO Box 179
Coeur D Alene, ID 83816-0179
Phone (208) 242-8839
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Spokane Valley, WA
- NPI 1740973213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638144000000",
"number": "1558029322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 179",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838160179",
"telephone_number": "208-242-8839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3254 N 10TH ST",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838155060",
"telephone_number": "208-242-8839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAISY HOPE BEHAVIORAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-29",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "COPPA",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "AGENCY DIRECTOR",
"authorized_official_telephone_number": "208-242-8839",
"authorized_official_credential": "BCBA"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.