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NPI Code Detail

MEDICARE: OAK BRIDGE ABA, LLC

MEDICARE: OAK BRIDGE ABA, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1265377154
Entity Type Code : Organization
Provider Name (Legal Business Name) : OAK BRIDGE ABA, LLC
Provider Business Mailing Address
First Line : 8708 TECHNOLOGY FOREST PL STE 175
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-1183
Country : US
Telephone Number : 951-505-0332
Fax Number : 281-863-9807
Provider Business Practice Location Address
First Line : 8708 TECHNOLOGY FOREST PL STE 175
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-1183
Country : US
Telephone Number : 951-505-0332
Fax Number : 281-863-9807
Authorized Official
Title or Position : OWNER
Name : JEFFREY SILVA
Credential :
Telephone Number : 951-505-0332
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “OAK BRIDGE ABA, LLC ” Practice Location

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