MEDICARE: AIM BEHAVIOR SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD1600X	Developmental Disabilities Clinic/Center
2	103K00000X	Behavior Analyst	1-15-21047	CA

General Provider Information

NPI Number	:	1194252759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIM BEHAVIOR SERVICES, LLC

Provider Business Mailing Address
First Line	:	3604 OCEAN RANCH BLVD
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-2669
Country	:	US
Telephone Number	:	619-356-0358
Fax Number	:	844-609-0034

Provider Business Practice Location Address
First Line	:	3604 OCEAN RANCH BLVD
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-2669
Country	:	US
Telephone Number	:	619-356-0358
Fax Number	:	844-609-0034

Authorized Official
Title or Position	:	OWNER
Name	:	MR. LANCE HAVENS
Credential	:	BCBA
Telephone Number	:	619-356-0358

Provider Enumeration Date	:	05/15/2017
Last Update Date	:	10/29/2025

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Directions to “AIM BEHAVIOR SERVICES, LLC ” Practice Location

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