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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

NPI Number 1659260982
LBN Legal business name LAKESIDE ABA NC LLC
Authorized official CHARLES WILLIAMS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2025
Last updated 10/24/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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