Lakewell ABA LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LAKEWELL ABA LLC

Practice address

1431 Mendell Dr
Saint Louis, MO 63130-1213

Phone

(314) 328-7748

Fax

(713) 583-3419

NPI assigned

Feb 17, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tamara Angelle Alexander

Title

President

Phone

(314) 328-7748

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1811792484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368A RICE BLVD STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052652",
            "telephone_number": "314-328-7748",
            "fax_number": "713-583-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 MENDELL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631301213",
            "telephone_number": "314-328-7748",
            "fax_number": "713-583-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWELL ABA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "ANGELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-328-7748"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Ann Lake, PT
• Priscilla Lakes, PHARMD
• Lakeside Behavioral Health, LLC
• Lakeside Center
• Abeba Lakew, LCSW
• Christine M. Lakey, LCSW, CEAP
• Mithra Lakshmi Narasimhan, MD
• Lakshmi V. Dundoo, MD, PC
• Anand Lakshminarasimhachar, MD
• Lal Home Health Agency

• Behavior Analyst in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Behavior Analyst in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.