Organization · Type 2 NPI

Lakeside Aba Az LLC

Behavior Analyst · Phoenix, AZ

NPI number 1740153691 Active

Practice location

4539 N 22nd St Ste R
Phoenix, AZ 85016-4639

Call (410) 357-1840 Map

Mailing address

1500 S Doheny Dr
Los Angeles, CA 90035-3211

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Home Health Agency 251E00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1740153691

Lakeside Aba Az LLC's National Provider Identifier is 1740153691, issued on Sep 26, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 26, 2025.