Healthcare Provider Details

I. General information

NPI: 1770203549
Provider Name (Legal Business Name): AIM BEHAVIORAL CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2022
Last Update Date: 08/05/2024
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 S HIGH ST
DUBLIN OH
43017-1133
US

IV. Provider business mailing address

76 S HIGH ST
DUBLIN OH
43017-1133
US

V. Phone/Fax

Practice location:
  • Phone: 419-303-9641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NICHOLE WILLIAMS
Title or Position: FOUNDER & CEO
Credential: PHD, BCBA, COBA
Phone: 614-963-2956