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Contact Information

LAKESIDE ABA TX LLC
8314 TWO WINDS
SAN ANTONIO, TX78255-2473
 Phone: 213-435-9423
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LAKESIDE ABA TX LLC · (Female)

NPI # 1114816717
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2025
Last updated 09/25/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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