MEDICARE: WHOLESOME CARE ABA 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	251S00000X	Community/Behavioral Health Agency
2	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1982577565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLESOME CARE ABA LLC

Provider Business Mailing Address
First Line	:	1515 MOCKINGBIRD LN STE 420
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3236
Country	:	US
Telephone Number	:	845-637-4223
Fax Number	:

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	:	845-637-4223
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AVROHOM E SCHWARTZ
Credential	:
Telephone Number	:	845-637-4223

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	05/29/2026

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