Provider Demographics
NPI:1972075521
Name:AIM STAR LEARNING, PLLC
Entity Type:Organization
Organization Name:AIM STAR LEARNING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAHL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, BCBA
Authorized Official - Phone:206-949-7640
Mailing Address - Street 1:716 MT BAKER AVE NE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-4835
Mailing Address - Country:US
Mailing Address - Phone:206-949-7640
Mailing Address - Fax:425-572-0653
Practice Address - Street 1:716 MT BAKER AVE NE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-4835
Practice Address - Country:US
Practice Address - Phone:206-949-7640
Practice Address - Fax:425-572-0653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty