MAKENA LEIGH LAKE
NPI 1124869458
Behavior Technician in Clovis, CA
About Makena Leigh Lake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAKENA LEIGH LAKE (NPI 1124869458) is an individual behavior technician in Clovis, California, licensed in California (Y7031147) and active in the NPI registry since June 2024.
NPPES Registry Identity
Specialties & Licenses
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.
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 Makena Lake's NPI number?
The NPI number for Makena Lake is 1124869458. It was assigned to this individual provider in the NPPES registry on June 3, 2024.
Where is Makena Lake located?
Makena Lake practices at 1420 Shaw Ave Ste 105, Clovis, CA 93611. The listed phone number is (559) 314-0616.
What is Makena Lake's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
When was this NPI record last updated?
The NPPES record for Makena Lake was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.