Provider Information
 Last Updated :  Sep 5 2025 2:28 PM	
	Aimee J Pack
| City Fresno                    | 
| Group HEALTH NET DIRECT FFS MEDI-CAL                                                                       | 
| Specialty Qualified Autism Svc Provider                      | 
| Last Name Pack                                                               | 
| First Name Aimee                                              | 
| Middle Name J          | 
| Address 6177 N Thesta St Ste 103                 | 
| State CA | 
| Zip Code 93710     | 
| Phone (855)223-7123  | 
| Hours Mon - Fri 8:00 AM - 5:00 PM                                                                                              | 
| Gender F | 
| Title M.A.    | 
| Physician ID   187136        | 
| Section Number A | 
| County FRESNO | 
| Accepting New Patient Yes | 
| PPG NAME HEALTH NET DIRECT FFS MEDI-CAL                                         | 
| PPG ID MHDML | 
| NPI Number   1114261823  | 
| Access Requirement Limited | 
| PARKING_IND P | 
| EXT_BUILD_IND EB | 
| INT_BUILD_IND IB | 
| RESTROOM_IND R | 
| License ID BCB18695           | 
| Email kjimenez@acesaba.com                                         | 
| Board Certified No | 
| Self Access Flag Self Reported Data | 
| PHY CCT IND N | 


