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

Makena Leigh Lake

Individual provider Behavior Technician · NPI 1124869458

Makena Leigh Lake is a Behavior Technician in Clovis, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

1420 Shaw Ave Ste 105
Clovis, CA 93611-4072
Phone: (559) 314-0616
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence Y7031147 (CA)

Record details

NPI number1124869458
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 2, 2024

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