Lakeside Aba Nc LLC
NPI #1659260982 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1659260982
- Entity Type
- Organization
- Organization Name
- Lakeside Aba Nc LLC
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Jul 1, 2025
- Last Updated
- Oct 24, 2025
Practice Location
- Address
- 2015 AYRSLEY TOWN BLVD
- Address 2
- STE 202
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28273
- Phone
- (213) 435-9423
Authorized Official
- Name
- DR. CHARLES WILLIAMS, PSYD
- Title
- CEO
- Phone
- (213) 435-9423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
| Behavior Analyst |
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