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General NPI Number Information
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NPI Number | 1730032608
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Entity Type | Organization
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Legal Business Name | THE RETREAT OF BEHAVIOR HEALTH
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 2654 W OAKS BLVD STE B
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City | PEARLAND
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State | TX
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Zip | 77584-8030
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Country | US
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Telephone | 281-809-3408
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 WINDOM COURT WAY
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City | FRESNO
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State | TX
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Zip | 77545-0030
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Country | US
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Telephone | 281-809-3408
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BASHIA JOHNSON
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Credential |
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Telephone | 936-714-3290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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