Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside ABA Az LLC

Organization Behavior Analyst · NPI 1740153691

Lakeside ABA Az LLC is a Behavior Analyst in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4539 N 22nd St Ste R
Phoenix, AZ 85016-4639
Phone: (410) 357-1840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Home Health Agency Taxonomy 251E00000X

Record details

NPI number1740153691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Williams — Ceo · (213) 435-9423
NPI enumeratedSeptember 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025
Mailing address1500 S Doheny Dr, Los Angeles, CA 90035-3211

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