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Candice Lake, BCBA-D, LLP
NPI 1285918193 · on the registry since 2011
Practice
- Address
- 1260 Ekhart St Ne
Grand Rapids, MI 49503 - Phone
- (616) 965-3470
- Clinicians at this address
- 57
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103T00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan