NPI 1114816717

Lakeside Aba Tx LLC

Organisation Behavior Analyst San Antonio, TX

Practice location

Address: 8314 Two Winds, San Antonio, TX 78255-2473
Phone: (213) 435-9423
Mailing address: 1500 S Doheny Dr, Los Angeles, CA 90035-3211

Authorised official

Name: Charles Williams
Title: Ceo
Phone: (213) 435-9423

Registered specialties (3)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Intellectual & Developmental Disabilities Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TM1800X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1114816717
Entity type: Organization
NPI issued: 30 Jun 2025
Record last updated: 25 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.