MEDICARE: AURORA ELIZABETH BRINK

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	106S00000X	Behavior Technician	BACB1531337	TX

General Provider Information

NPI Number	:	1457188872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AURORA ELIZABETH BRINK

Provider Business Mailing Address
First Line	:	2171 CEDAR RD
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75090-5590
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	404 N BRYANT AVE
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7338
Country	:	US
Telephone Number	:	907-351-9177
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2024
Last Update Date	:	03/02/2026

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Directions to “ AURORA ELIZABETH BRINK ” Practice Location

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