Provider Demographics
NPI:1710438478
Name:DALY, AIMEE MARIE (BCBA)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:MARIE
Last Name:DALY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5843 SE 128TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97236-4622
Mailing Address - Country:US
Mailing Address - Phone:503-607-6502
Mailing Address - Fax:
Practice Address - Street 1:5843 SE 128TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97236-4622
Practice Address - Country:US
Practice Address - Phone:503-607-6502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-18
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst