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General NPI Number Information
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NPI Number | 1932079779
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Entity Type | Organization
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Legal Business Name | BRIGHT OAK BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 3335 BROAD ST APT 11
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-6752
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Country | US
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Telephone | 805-595-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 3335 BROAD ST APT 11
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-6752
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Country | US
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Telephone | 805-595-0477
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CLINICAL DIRECTOR
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Name | ROBIN MARIE SCHELLING
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Credential | BCBA
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Telephone | 805-595-0477
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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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