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Contact Information

LAKESIDE ABA NC LLC
2015 AYRSLEY TOWN BLVD
STE 202
CHARLOTTE, NC28273
 Phone: 213-435-9423
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Home Health

251E00000X A4[11] Home Health Agency
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LAKESIDE ABA NC LLC · (Female)

NPI Number 1659260982
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2025
Last updated 10/24/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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