Healthcare Provider Details

I. General information

NPI: 1437955135
Provider Name (Legal Business Name): NLAC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 ROGERS ST STE 202
LOWELL MA
01852-4345
US

IV. Provider business mailing address

102 HOLLIS ST
LOWELL MA
01852-5806
US

V. Phone/Fax

Practice location:
  • Phone: 978-285-2080
  • Fax: 978-285-2082
Mailing address:
  • Phone: 978-726-2910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: LOUISA CHAN
Title or Position: OWNER
Credential:
Phone: 978-726-2910