Individual provider · Type 1 NPI

Elizabeth Nicole Lake, MA, BCBA/LBA

Behavior Analyst · Folsom, CA

NPI number 1033702287 Active

Practice location

1550 Broadstone Pkwy Apt 2307
Folsom, CA 95630-6698

Call (805) 297-0029 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Analyst Primary 103K00000X1-22-63133 (CA)
Behavior Analyst 103K00000X1-22-63133 (WA)
Behavior Analyst 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1033702287

Elizabeth Nicole Lake, MA, BCBA/LBA's National Provider Identifier is 1033702287, issued on Feb 18, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Folsom, CA. The record was last updated on Sep 8, 2026.