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General NPI Number Information
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NPI Number | 1861082109
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Entity Type | Organization
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Legal Business Name | AURORA BEHAVIORAL CONSULTANTS, L.L.C.
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 342 ORANGE AVE
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City | LONG BEACH
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State | CA
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Zip | 90802-3538
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Country | US
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Telephone | 562-380-0754
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Fax |
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Provider Business Mailing Address
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Address Line | 13 MISSION PLAZA DR
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City | VENTURA
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State | CA
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Zip | 93001-2672
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Country | US
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Telephone | 562-380-0754
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KATHLEEN JOY SMITH
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Credential | BCBA
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Telephone | 907-862-7776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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