MEDICARE: AURA ABA 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	:	1407786700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AURA ABA LLC

Provider Business Mailing Address
First Line	:	5031 FAIR AVE
Second Line	:	UNIT 636
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-4391
Country	:	US
Telephone Number	:	818-782-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	5031 FAIR AVE
Second Line	:	UNIT 636
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-4391
Country	:	US
Telephone Number	:	818-782-0000
Fax Number	:

Authorized Official
Title or Position	:	MANAGER OF LLC
Name	:	HAMBARDZUM SIMONYAN
Credential	:
Telephone Number	:	818-782-0000

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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