Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Candice M Lake, BCBA-D, LLP

Individual provider Psychologist · NPI 1285918193

Dr. Candice M Lake, BCBA-D, LLP is a Psychologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1260 Ekhart St NE
Grand Rapids, MI 49503-1380
Phone: (616) 965-3470
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 01-07-3561 (MI)
Psychologist Taxonomy 103T00000X · Licence 6301016173 (MI)

Record details

NPI number1285918193
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA-D , LLP
Sole proprietorNo
NPI enumeratedOctober 11, 2011
Last updated in NPPESMarch 21, 2016

Other providers in Grand Rapids