NPI Code Details Logo

NPI 1265377154

NPI 1265377154 : OAK BRIDGE ABA, LLC : THE WOODLANDS, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265377154
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OAK BRIDGE ABA, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/20/2026
-----------------------------------------------------
    Last Update Date     |    04/20/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    8708 TECHNOLOGY FOREST PL STE 175 
-----------------------------------------------------
    City                 |    THE WOODLANDS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77381-1183
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-505-0332
-----------------------------------------------------
    Fax                  |    281-863-9807
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    8708 TECHNOLOGY FOREST PL STE 175 
-----------------------------------------------------
    City                 |    THE WOODLANDS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77381-1183
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    951-505-0332
-----------------------------------------------------
    Fax                  |    281-863-9807
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     JEFFREY  SILVA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    951-505-0332
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    103K00000X
-----------------------------------------------------
    Taxonomy Name        |    Behavior Analyst
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.