Healthcare Provider Details

I. General information

NPI: 1629907365
Provider Name (Legal Business Name): AURUM ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9872 LANARK ST
SUN VALLEY CA
91352-4229
US

IV. Provider business mailing address

9872 LANARK ST
SUN VALLEY CA
91352-4229
US

V. Phone/Fax

Practice location:
  • Phone: 424-395-7261
  • Fax:
Mailing address:
  • Phone:
  • 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: KLARA GEVORGYAN
Title or Position: MANAGER OF THE LLC
Credential:
Phone: 424-395-7261