| Aurora Behavioral Concepts Inc | |
|
1142 W Buxton St Rialto CA 92377-8833 | |
| (909) 419-0967 | |
| (909) 419-0967 |
| Full Name | Aurora Behavioral Concepts Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1142 W Buxton St, Rialto, California |
| Authorized Official Name and Position | Julissa L Johnson (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9094190967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Behavioral Concepts Inc 1142 W Buxton St Rialto CA 92377-8833 Ph: (909) 419-0967 | Aurora Behavioral Concepts Inc 1142 W Buxton St Rialto CA 92377-8833 Ph: (909) 419-0967 |
| NPI Number | 1205597457 |
|---|---|
| Provider Enumeration Date | 01/09/2022 |
| Last Update Date | 01/09/2022 |
| Certification Date | 01/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205597457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
| 106E00000X | Assistant Behavior Analyst | (NU) | Secondary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
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