MEDICARE: DOUBLE CARE ABA NC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1669325585
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUBLE CARE ABA NC LLC

Provider Business Mailing Address
First Line	:	1274 49TH ST STE 32
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3011
Country	:	US
Telephone Number	:	646-762-1600
Fax Number	:	646-762-1600

Provider Business Practice Location Address
First Line	:	1515 MOCKINGBIRD LN STE 420
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3236
Country	:	US
Telephone Number	:	646-762-1600
Fax Number	:	646-769-1655

Authorized Official
Title or Position	:	OWNER
Name	:	SHIA KLEIN
Credential	:
Telephone Number	:	347-984-4901

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/26/2026

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