Healthcare Provider Details

I. General information

NPI: 1598481483
Provider Name (Legal Business Name): AURORA PUBLIC SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022
Certification Date: 10/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 L ST
AURORA NE
68818-1902
US

IV. Provider business mailing address

300 L ST
AURORA NE
68818-1902
US

V. Phone/Fax

Practice location:
  • Phone: 402-694-6966
  • Fax:
Mailing address:
  • Phone: 402-694-6966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA BLOCK
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 402-694-6966