Healthcare Provider Details

I. General information

NPI: 1861082109
Provider Name (Legal Business Name): AURORA BEHAVIORAL CONSULTANTS, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 01/20/2021
Certification Date: 01/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

342 ORANGE AVE
LONG BEACH CA
90802-3538
US

IV. Provider business mailing address

13 MISSION PLAZA DR
VENTURA CA
93001-2672
US

V. Phone/Fax

Practice location:
  • Phone: 562-380-0754
  • Fax:
Mailing address:
  • Phone: 562-380-0754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN JOY SMITH
Title or Position: EXECUTIVE DIRECTOR
Credential: BCBA
Phone: 907-862-7776