Healthcare Provider Details

I. General information

NPI: 1194252759
Provider Name (Legal Business Name): AIM BEHAVIOR SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2017
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 OCEAN RANCH BLVD
OCEANSIDE CA
92056-2669
US

IV. Provider business mailing address

3604 OCEAN RANCH BLVD
OCEANSIDE CA
92056-2669
US

V. Phone/Fax

Practice location:
  • Phone: 619-356-0358
  • Fax: 844-609-0034
Mailing address:
  • Phone: 619-356-0358
  • Fax: 844-609-0034

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-15-21047
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. LANCE HAVENS
Title or Position: OWNER
Credential: BCBA
Phone: 619-356-0358