Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CANDICE M LAKE, BCBA-D, LLP
ActiveDR. CANDICE M LAKE, BCBA-D, LLP is a Behavior Analyst healthcare provider located in GRAND RAPIDS, Michigan. NPI 1285918193 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1285918193
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2011 (14.653495966044 yrs)
- Last Updated
- Mar 21, 2016
- Licenses
-
6301016173 (MI)01-07-3561 (MI)
Practice Information
- Address
-
1260 EKHART ST NEGRAND RAPIDS, MI, 495031380Browse MI providers · Browse ZIP 49503
- Phone
- 6169653470
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| BETH ANN BOOGHOLT | M.S., BCBA, LLP, LBA | 1265760128 |
| JILL RENAE EMMICK | M.A. BCBA | 1114223997 |
| STEPHANIE SWEEBE | — | 1942592209 |
| CASEY N MOORE | BCBA | 1275815227 |
| MRS. KARLA ANNE FOISY | — | 1336416924 |
| GABRIELLE ELENA BLOOM | BCBA | 1700144060 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.