MEDICARE: OAKS ABA SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1619826252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAKS ABA SERVICES LLC

Provider Business Mailing Address
First Line	:	16830 PINE CASTLE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-5482
Country	:	US
Telephone Number	:	317-289-8938
Fax Number	:	317-289-8938

Provider Business Practice Location Address
First Line	:	16830 PINE CASTLE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-5482
Country	:	US
Telephone Number	:	317-289-8938
Fax Number	:	317-289-8938

Authorized Official
Title or Position	:	MANAGER
Name	:	TEMILADE OJOMO
Credential	:	BCBA
Telephone Number	:	317-289-8938

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

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