Healthcare Provider Details

I. General information

NPI: 1235034273
Provider Name (Legal Business Name): AURELIAN BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 W 7TH ST STE 100
ERIE PA
16502-1333
US

IV. Provider business mailing address

502 W 7TH ST STE 100
ERIE PA
16502-1333
US

V. Phone/Fax

Practice location:
  • Phone: 484-203-8006
  • Fax:
Mailing address:
  • Phone: 484-203-8006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: ANTONIO JONES
Title or Position: CEO
Credential: BCBA,LBS,IBA,LBA
Phone: 609-481-0313