Provider Demographics
NPI:1275254914
Name:BEHLING, AURORA GAEA
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:GAEA
Last Name:BEHLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 ELMER DR NE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49525-3065
Mailing Address - Country:US
Mailing Address - Phone:231-497-9632
Mailing Address - Fax:
Practice Address - Street 1:2338 ELMER DR NE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49525-3065
Practice Address - Country:US
Practice Address - Phone:231-497-9632
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician