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ELIZABETH NICOLE LAKE MA, BCBA/LBA
NPI 1033702287
Behavior Analyst in Elk Grove, CA

Active since February 18, 2021
9355 E STOCKTON BLVD STE 100, ELK GROVE, CA 95624(916) 683-1109 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2025, Dec 21, 2022, Feb 18, 2021 (3 updates tracked since 2021).

About Elizabeth Nicole Lake Ma, Bcba/lba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH NICOLE LAKE MA, BCBA/LBA (NPI 1033702287) is an individual behavior analyst provider in Elk Grove, California, licensed in California (1-22-63133) and active in the NPI registry since February 2021. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033702287
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameELIZABETH NICOLE LAKECredential: MA, BCBA/LBA
Location Address9355 E STOCKTON BLVD STE 100Elk Grove, CA 95624-9476
Mailing Address390 Union Blvd Ste 300Lakewood, CO 80228-6514
Phone(916) 683-1109
Sole ProprietorYes
Enumeration DateFebruary 18, 2021
Last NPPES UpdateOctober 16, 20253 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
✔ NPI 1033702287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Licenses✔ Licensed in CA · 1-22-63133✔ Licensed in WA · 1-22-63133
Definition
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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
9355 E STOCKTON BLVD STE 100, Elk Grove, CA 95624
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Secondary Practice Locations 3

Location 15457 SW Canyon CtPortland, OR 97221-2401 · Phone (971) 762-4663
Location 232650 State Route 20 Ste E204Oak Harbor, WA 98277-2686 · Phone (208) 996-2811
Location 31851 NW Civic DrGresham, OR 97030-5566 · Phone (971) 292-1050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Kaiser Permanente and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMINE SINGH
Behavior Technician
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Sacramento County (916) 683-1109
RACHEL ROTH
Behavior Technician
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Sacramento County (916) 683-1109
ANGELINA DOMOE BCBA
Behavior Analyst
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Sacramento County (916) 683-1109
DENISSE ALONSO
Behavior Technician
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Sacramento County (916) 683-1109
KIRSTINA GAMEZ
Behavior Technician
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Sacramento County (209) 572-2589
MARIO ALEXANDER GUENDULAIN JR.
Behavior Technician
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Sacramento County (916) 683-1109
KIMBERLY LOZANO
Behavior Technician
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Sacramento County (209) 572-2589
MELISSA MEREDITH
Behavior Technician
9355 E STOCKTON BLVD STE 100
ELK GROVE, CA 95624
Sacramento County (916) 683-1109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Lake's NPI number?

The NPI number for Elizabeth Lake is 1033702287. It was assigned to this individual provider in the NPPES registry on February 18, 2021.

Where is Elizabeth Lake located?

Elizabeth Lake practices at 9355 E Stockton Blvd Ste 100, Elk Grove, CA 95624. The listed phone number is (916) 683-1109.

What is Elizabeth Lake's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Elizabeth Lake accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Kaiser Permanente, Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska and 3 other insurers list Elizabeth Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Lake was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.