Organization
AURORA BEHAVIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY FORESTAL (BCBA)
(907) 350-8893
Entity
Organization
Contact information
Practice address
9529 NOAK CIR, EAGLE RIVER, AK 99577-8515
(907) 350-8893
Mailing address
9529 NOAK CIR, EAGLE RIVER, AK 99577-8515
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
102810
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366845570
NPI
AK
Enumeration date
06/26/2018
Last updated
06/26/2018
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