Healthcare Provider Details

I. General information

NPI: 1588587463
Provider Name (Legal Business Name): ALORA ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 SEPULVEDA BLVD APT 107
VAN NUYS CA
91405-4910
US

IV. Provider business mailing address

7400 SEPULVEDA BLVD APT 107
VAN NUYS CA
91405-4910
US

V. Phone/Fax

Practice location:
  • Phone: 818-850-9972
  • Fax:
Mailing address:
  • Phone: 818-850-9972
  • 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: GEVORG BADEMYAN
Title or Position: MANAGER OF THE LLC
Credential:
Phone: 818-850-9972