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

Elizabeth Nicole Lake, MA, BCBA/LBA

Individual provider Behavior Analyst · NPI 1033702287

Elizabeth Nicole Lake, MA, BCBA/LBA is a Behavior Analyst in Elk Grove, California. Practices as a sole proprietor and works from 4 locations. Licensed in California, Oregon, Texas and Washington.

Licensed in
CA, OR, TX, WA
In the registry since
2021
Specialties on file
4
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

9355 E Stockton Blvd Ste 100
Elk Grove, CA 95624-9476
Phone: (916) 683-1109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1851 Nw Civic Dr, Gresham, OR 97030-5566 — (971) 292-1050
  • 5457 Sw Canyon Ct, Portland, OR 97221-2401 — (971) 762-4663
  • 32650 State Route 20 Ste E204, Oak Harbor, WA 98277-2686 — (208) 996-2811

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-22-63133 (CA)
Behavior Analyst Taxonomy 103K00000X (TX)
Behavior Analyst Taxonomy 103K00000X (OR)
Behavior Analyst Taxonomy 103K00000X · Licence 1-22-63133 (WA)

Record details

NPI number1033702287
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , BCBA/LBA
Sole proprietorYes
NPI enumeratedFebruary 18, 2021
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

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