LAKESIDE ABA AZ LLC

PHOENIX, AZ
NPI1740153691
Entity TypeOrganization
Authorized ContactCHARLES WILLIAMS
CEO
213-435-9423
Organization Subpart ?No
Primary Taxonomy103K00000X Behavior Analyst
Additional Taxonomies251E00000X Home Health
Enumeration Date2025-09-26
Last Update Date2025-09-26
Business Address
LAKESIDE ABA AZ LLC
4539 N 22ND ST STE R
PHOENIX, AZ 85016-4639
Phone number: 410-357-1840
Mailing Address
LAKESIDE ABA AZ LLC
1500 S DOHENY DR
LOS ANGELES, CA 90035-3211
Phone number: