Healthcare Provider Details

I. General information

NPI: 1407786700
Provider Name (Legal Business Name): AURA ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5031 FAIR AVE UNIT 636
NORTH HOLLYWOOD CA
91601-4391
US

IV. Provider business mailing address

5031 FAIR AVE UNIT 636
NORTH HOLLYWOOD CA
91601-4391
US

V. Phone/Fax

Practice location:
  • Phone: 818-782-0000
  • Fax:
Mailing address:
  • Phone: 818-782-0000
  • 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: HAMBARDZUM SIMONYAN
Title or Position: MANAGER OF LLC
Credential:
Phone: 818-782-0000