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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KIMBERLY MARIE LAKE, MA

Active Sole Proprietor

Behavior Analyst · NEW YORK, NY

Registration Details

NPI Number
1629218656
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2009 (17.176558321234 yrs)
Last Updated
Mar 3, 2009
License
1958934 (NY)
Sole Proprietor
Yes

Practice Information

Address
215 E 95TH ST
15F
NEW YORK, NY, 101284077
Browse NY providers · Browse ZIP 10128
Phone
7817208212
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in NEW YORK, NY

Name Credential NPI
MS. ANN-MARIE BROWN APRN-BC 1770599300
ADRIANE MILIOTIS MA, BCBA, LBA 1730348475
DARLENE GDASI MMS, BCBA, LBA 1407006620
SHARON LEVINE ELGHANAYANCSW CSW 1124273107
MS. ORLEE NAGAR MS.ED 1912152208
MRS. MARY LAVINIA CAMPBELL LCSWR, CDE 1194950154
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.