Healthcare Provider Details

I. General information

NPI: 1790690733
Provider Name (Legal Business Name): AURORA BEHAVIORAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1913 EUCLID AVE STE 103
SAN DIEGO CA
92105-5360
US

IV. Provider business mailing address

1913 EUCLID AVE STE 103
SAN DIEGO CA
92105-5360
US

V. Phone/Fax

Practice location:
  • Phone: 858-254-0190
  • Fax:
Mailing address:
  • Phone: 858-254-0190
  • 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: LIBAN ADAN YUSUF
Title or Position: OWNER
Credential:
Phone: 858-254-0190