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MISS KIMBERLY MARIE LAKE MA
NPI 1629218656
Behavior Analyst in New York, NY

Active since March 03, 2009
215 E 95TH ST, 15F, NEW YORK, NY 10128(781) 720-8212 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miss Kimberly Marie Lake Ma NPPES

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

MISS KIMBERLY MARIE LAKE MA (NPI 1629218656) is an individual behavior analyst provider in New York, New York, licensed in New York (1958934) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1629218656
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMISS KIMBERLY MARIE LAKECredential: MA
Location Address215 E 95TH ST, 15FNew York, NY 10128-4077
Mailing Address215 E 95th St, 15fNew York, NY 10128-4077 · (781) 720-8212
Phone(781) 720-8212
Sole ProprietorYes
Enumeration DateMarch 3, 2009
✔ NPI 1629218656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in NY · 1958934
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.

215 E 95TH ST, New York, NY 10128
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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.

DR. ESTELLE IRENE YOUNG MD
Dermatology
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000
DR. JAMES ZISFEIN M.D.
Psychiatry & Neurology (Neurology)
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000
DR. JUSTYNA I POGODZINSKA
Internal Medicine
215 E 95TH ST
NEW YORK, NY 10128
New York County (212) 996-8000
DR. MARY JO KENNEDY M.D.
Family Medicine
215 E 95TH ST, SUITE M, FIRST FLOOR
NEW YORK, NY 10128
New York County (212) 996-8000
DR. ANNE DAUGHERTY REUTER O.D.
Optometrist
215 E 95TH ST, AREA I
NEW YORK, NY 10128
New York County (212) 996-8000
MS. MINDY ELLEN KROLL SUTTON LMSW
Social Worker
215 E 95TH ST, APT. 30J
NEW YORK, NY 10128
New York County (646) 457-1002
MRS. LAUREN DEGAETANO CDN
Dietitian, Registered (Nutrition, Metabolic)
215 E 95TH ST
NEW YORK, NY 10128
New York County (121) 299-6800
DECHABOON CHANGSIRIVATHANATHAMRONG MD
Student in an Organized Health Care Education/Training Program
215 E 95TH ST, APT. 22B
NEW YORK, NY 10128
New York County (212) 427-1540

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 Kimberly Lake's NPI number?

The NPI number for Kimberly Lake is 1629218656. It was assigned to this individual provider in the NPPES registry on March 3, 2009.

Where is Kimberly Lake located?

Kimberly Lake practices at 215 E 95th St 15F, New York, NY 10128. The listed phone number is (781) 720-8212.

What is Kimberly Lake's specialty?

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

When was this NPI record last updated?

The NPPES record for Kimberly Lake was last updated on March 3, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.