Provider Demographics
NPI:1699312199
Name:CORTEZ, AURORA
Entity type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:CORTEZ
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 1:1461 E COOLEY DR STE 185
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3983
Mailing Address - Country:US
Mailing Address - Phone:909-850-4651
Mailing Address - Fax:909-850-4820
Practice Address - Street 1:1461 E COOLEY DR STE 185
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3983
Practice Address - Country:US
Practice Address - Phone:909-850-4651
Practice Address - Fax:909-850-4820
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst