Healthcare Provider Details

I. General information

NPI: 1639252307
Provider Name (Legal Business Name): BEHAVIORAL SCIENCE SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 3RD AVE
COLUMBUS OH
43201-3256
US

IV. Provider business mailing address

100 W 3RD AVE
COLUMBUS OH
43201-3256
US

V. Phone/Fax

Practice location:
  • Phone: 614-291-7600
  • Fax: 614-291-3800
Mailing address:
  • Phone: 614-291-7600
  • Fax: 614-291-3800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4627
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3850
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5865
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2857
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6095
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSP549
License Number StateOH
# 7
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.0002050-SUPV
License Number StateOH

VIII. Authorized Official

Name: DR. RICHARD M ASHBROOK
Title or Position: CEO/CLINICAL PSYCHOLOGIST
Credential: PH.D.
Phone: 614-291-7600