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Organization
LAKESIDE ABA LLC
Active
Organization
LAKESIDE ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAMS PSYD (CEO)
(213) 435-9423
Entity
Organization
Contact information
Practice address
19627 FRAMINGHAM DR, GAITHERSBURG, MD 20879-1867
(213) 435-9423
Mailing address
1500 S DOHENY DR, LOS ANGELES, CA 90035-3211
(213) 435-9423
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/28/2024
Last updated
09/08/2025
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