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Contact Information

LAKESIDE ABA LLC
19627 FRAMINGHAM DR
GAITHERSBURG, MD20879-1867
 Phone: 213-435-9423
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for LAKESIDE ABA LLC

NPI Number 1972325215
LBN Legal business name LAKESIDE ABA LLC
Authorized official CHARLES WILLIAMS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/28/2024
Last updated 09/08/2025 - About 9 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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