Isaac Robert Lake
Isaac Robert Lake is a Behavior Technician in Simi Valley, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1900 E Los Angeles Ave Ste 100Simi Valley, CA 93065-6560
Phone: (805) 537-0627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1043904956 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 5, 2023 |
| Last updated in NPPES | June 5, 2023 |
| Certification date | June 5, 2023 |
| Mailing address | 5850 Granite Pkwy Ste 600, Plano, TX 75024-6753 |
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