Healthcare Provider Details

I. General information

NPI: 1063308005
Provider Name (Legal Business Name): AIM INCLUSION BEHAVIORAL AND PSYCHOLOGICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 E DAKOTA AVE STE 224
FRESNO CA
93726-4804
US

IV. Provider business mailing address

2025 E DAKOTA AVE STE 224
FRESNO CA
93726-4804
US

V. Phone/Fax

Practice location:
  • Phone: 559-259-4658
  • Fax:
Mailing address:
  • Phone: 559-259-4658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: GAUKUE XIONG
Title or Position: CEO
Credential: MA, PPS, LEP, BCBA
Phone: 559-259-4658