Individual provider · Type 1 NPI

Matthew R. Lake

Behavior Analyst · Warren, MI

NPI number 1790326080 Active

Practice location

3601 E 11 Mile Rd
Warren, MI 48092-2878

Other practice locations

  • 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 · (810) 321-3001
  • 4900 Mercury Dr Ste D, Dearborn, MI 48126-2947 · (734) 203-7675

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X7401003468 (MI)

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…

307 other providers at this address

Other behavior analyst providers in Warren

See all in Warren →

About NPI 1790326080

Matthew R. Lake's National Provider Identifier is 1790326080, issued on Oct 8, 2019. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Warren, MI. The record was last updated on Aug 20, 2026.