Bob Belloni Ranch, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

BOB BELLONI RANCH, INC.

Practice address

320 Central Ave Ste 406
Coos Bay, OR 97420-2241

Phone

(541) 269-0321

NPI assigned

Sep 26, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roger Langlie

Title

Executive Director

Phone

(541) 269-0321

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bob Belloni Ranch Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bob Belloni Ranch Inc.

  • Community/Behavioral Health Agency
  • Coos Bay, OR
  • NPI 1376165068
  NPD tax ID
• Bob Belloni Ranch, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Coos Bay, OR
  • NPI 1093040693
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1568899243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE STE 406",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202241",
            "telephone_number": "541-269-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CENTRAL AVE STE 406",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202241",
            "telephone_number": "541-269-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB BELLONI RANCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "LANGLIE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-269-0321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500400418",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste Blanken, DO
• Davina Lynn Bledsoe, FNP-BC
• Thomas Blodgett, PHARMD
• Bob Belloni Ranch Inc.
• Bob Belloni Ranch, Inc.
• Anne Marie Bombardier, CRNA
• Kellilynn Bosak, LCSW
• Richard L Bossardt, L.C.S.W.
• Tenzin Bottoroff
• Blake Raymond Bowers, ATC

• Behavior Analyst in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.