Organization
LAKESIDE ABA TX LLC
Active
Other names
Lakeside ABA TX LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES WILLIAMS PSYD (CEO)
(213) 435-9423
Entity
Organization
Contact information
Practice address
8314 TWO WINDS, SAN ANTONIO, TX 78255-2473
(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
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
06/30/2025
Last updated
09/25/2025
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