Lakeside ABA TX LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

LAKESIDE ABA TX LLC

Doing business as

Lakeside ABA TX LLC

Practice address

8314 Two Winds
San Antonio, TX 78255-2473

Phone

(213) 435-9423

NPI assigned

Jun 30, 2025

Last updated

Sep 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles Williams, PSYDNPI 1366875320

Title

Ceo

Phone

(213) 435-9423

Specialties & licenses 3

Addresses

Other names 1

• Lakeside ABA TX LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Avery Williams, PSYD

  • Psychologist
  • Los Angeles, CA
  • NPI 1366875320
  Authorized official Same address or phone

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

{
    "created_epoch": "1751241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1114816717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S DOHENY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353211",
            "telephone_number": "213-435-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8314 TWO WINDS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552473",
            "telephone_number": "213-435-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE ABA TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-30",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-435-9423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside ABA TX LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Aileen Lajeunesse, MD
• Lake Area Home Health, LLC (Choice Health at Home)
• Lake Mi Mobile Doctors PC (Mobile Doctors of San Antonio)
• Jennifer Gornto Lake, MS, CCC-SLP
• Lakesh Allure, PLLC
• Lakeside Med PLLC
• Lakewood Senior Living of Alta Vista LLC (Lakewood Senior Living of Alta Vista)
• Katherine Lyn Lakey, MD
• Shikha Lakhwara
• Jennifer Lakner, MS, RD, CSOWM

• Behavior Analyst in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.