Provider Demographics
NPI:1750831756
Name:AIM HIGH
Entity Type:Organization
Organization Name:AIM HIGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YARDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA BCBA
Authorized Official - Phone:425-591-6729
Mailing Address - Street 1:16205 NW BETHANY CT
Mailing Address - Street 2:#100
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-4687
Mailing Address - Country:US
Mailing Address - Phone:425-591-6729
Mailing Address - Fax:
Practice Address - Street 1:16205 NW BETHANY CT
Practice Address - Street 2:#100
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-4687
Practice Address - Country:US
Practice Address - Phone:425-591-6729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORABA-B-10166920251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty