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DR. CANDICE M LAKE BCBA-D, LLP
NPI 1285918193
Behavior Analyst in Grand Rapids, MI

Active since October 11, 2011
1260 EKHART ST NE, GRAND RAPIDS, MI 49503(616) 965-3470 Get Directions Write a Review

NPPES record last updated: March 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Candice M Lake Bcba-d, Llp NPPES

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

DR. CANDICE M LAKE BCBA-D, LLP (NPI 1285918193) is an individual behavior analyst provider in Grand Rapids, Michigan, licensed in Michigan (01-07-3561) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1285918193
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameDR. CANDICE M LAKECredential: BCBA-D, LLP
Location Address1260 EKHART ST NEGrand Rapids, MI 49503-1380
Mailing Address3300 36th St SeGrand Rapids, MI 49512-2810 · (616) 965-3470
Phone(616) 965-3470
Sole ProprietorNo
Enumeration DateOctober 11, 2011
Last NPPES UpdateMarch 21, 2016
✔ NPI 1285918193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MI · 01-07-3561
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.
Also ListedPsychologistTaxonomy 103T00000X · License 6301016173 (MI)
1260 EKHART ST NE, Grand Rapids, MI 49503
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Other Names 1

Former Name (1)Dr. Candice M Jostad Bcba-d, Llp

Other Identifiers 1

Medicaid10025695700NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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.

KATHLEEN BARDSLEY
Behavior Analyst
1260 EKHART ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 965-3492
PETRA ANN BROMLEY
Behavior Technician
1260 EKHART ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 942-2110
ARIANA ORTEGA
Behavior Technician
1260 EKHART ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 962-3492
KATRINA ELLEN NEWMAN MA, BCBA, LBA
Behavior Analyst
1260 EKHART ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 965-3492
MRS. LISA MARIE DEHAAN BSR
Behavior Technician
1260 EKHART ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 965-3492
CAMILLE ELAINE MACKLIN
Behavior Technician
1260 EKHART ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 942-2110
MORGAN ELIZABETH BENGEL
Behavior Technician
1260 EKHART ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 965-3492
ANDREA RENEE ALLEN
Behavior Technician
1260 EKHART ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 965-3492

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 Candice Lake's NPI number?

The NPI number for Candice Lake is 1285918193. It was assigned to this individual provider in the NPPES registry on October 11, 2011. The provider is also known as Dr. Candice M Jostad Bcba-D, LLP.

Where is Candice Lake located?

Candice Lake practices at 1260 Ekhart St NE, Grand Rapids, MI 49503. The listed phone number is (616) 965-3470.

What is Candice Lake's specialty?

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

What insurance does Candice Lake accept?

Health plans from Priority Health list Candice 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 Candice Lake was last updated on March 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.