Oaktree ABA Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

OAKTREE ABA SERVICES LLC

Practice address

7578 FM 455
Montague, TX 76251-1258

Phone

(940) 531-2330

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jethro Solomon

Title

Ceo

Phone

(404) 308-1594

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie D Velasquez, BCBA

  • Behavior Analyst
  • Abilene, TX
  • NPI 1902431604
  NPD (past)

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1780210955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7578 FM 455",
            "city": "MONTAGUE",
            "state": "TX",
            "postal_code": "762511258",
            "telephone_number": "940-531-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7578 FM 455",
            "city": "MONTAGUE",
            "state": "TX",
            "postal_code": "762511258",
            "telephone_number": "940-531-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTREE ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "JETHRO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-308-1594"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Medical Supply, LLC
• Montague Independent School District
• Ohana Med Group, LLC

• Behavior Analyst in Montague, TX
• Providers in Montague, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.