Provider Demographics
NPI:1649416223
Name:AURA ENTERPRISES, INC
Entity Type:Organization
Organization Name:AURA ENTERPRISES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AURA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINONES-MOODY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:347-248-5208
Mailing Address - Street 1:37 ETHEL STREET
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580
Mailing Address - Country:US
Mailing Address - Phone:347-248-5208
Mailing Address - Fax:
Practice Address - Street 1:37 ETHEL STREET
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580
Practice Address - Country:US
Practice Address - Phone:347-248-5208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057601-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency