Healthcare Provider Details

I. General information

NPI: 1982577565
Provider Name (Legal Business Name): WHOLESOME CARE ABA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 MOCKINGBIRD LN STE 420
CHARLOTTE NC
28209-3236
US

IV. Provider business mailing address

1515 MOCKINGBIRD LN STE 420
CHARLOTTE NC
28209-3236
US

V. Phone/Fax

Practice location:
  • Phone: 845-637-4223
  • Fax:
Mailing address:
  • Phone: 845-637-4223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: AVROHOM E SCHWARTZ
Title or Position: OWNER
Credential:
Phone: 845-637-4223