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General NPI Number Information
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NPI Number | 1205765666
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Entity Type | Organization
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Legal Business Name | VELVET & OAK BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 3472 E PARADUXX PRIVADO
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City | ONTARIO
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State | CA
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Zip | 91762-7505
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Country | US
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Telephone | 951-345-2335
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD # 546405
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 951-345-2335
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Fax |
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Authorized Official
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Title or Position | BCBA, OWNER
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Name | CAROLINE ROBLES
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Credential | MA, BCBA
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Telephone | 951-345-2335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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