Healthcare Provider Details

I. General information

NPI: 1477489250
Provider Name (Legal Business Name): GROWING FORWARD ABA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 LAKEWOOD AVE
LINCOLNTON NC
28092-7946
US

IV. Provider business mailing address

169 LAKEWOOD AVE
LINCOLNTON NC
28092-7946
US

V. Phone/Fax

Practice location:
  • Phone: 828-578-9525
  • Fax:
Mailing address:
  • Phone:
  • 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: MR. LOGAN LAWING
Title or Position: CEO
Credential: BCBA
Phone: 828-578-9525