Healthcare Provider Details

I. General information

NPI: 1801611975
Provider Name (Legal Business Name): AURELIA GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2024
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32730 WALKER RD STE J2
AVON LAKE OH
44012-2235
US

IV. Provider business mailing address

32730 WALKER RD STE J2
AVON LAKE OH
44012-2235
US

V. Phone/Fax

Practice location:
  • Phone: 440-202-6300
  • Fax: 513-992-9101
Mailing address:
  • Phone: 440-202-6300
  • Fax: 513-992-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JODI LEE WEBER
Title or Position: CEO
Credential: LICSW-S
Phone: 562-242-6561