Lakeside ABA LLC
NPI 1972325215ActiveOrganization· Behavior Analyst· Gaithersburg, MD
Behavior Analyst in Gaithersburg, Maryland, registered in NPPES in October 2024. The authorized official on file is Charles Williams, PSYD, Ceo.
Overview
| NPI | 1972325215 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 28, 2024 |
| Last updated in NPPES | Sep 8, 2025 |
| Certified by provider | Sep 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | — | — |
| Assistant Behavior Analyst | 106E00000X | — | — |
| Behavior Technician | 106S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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