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

Miss. Kimberly Marie Lake, MA

Individual provider Behavior Analyst · NPI 1629218656

Miss. Kimberly Marie Lake, MA is a Behavior Analyst in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2009
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

215 E 95th St 15F
New York, NY 10128-4077
Phone: (781) 720-8212
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1958934 (NY)

Record details

NPI number1629218656
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedMarch 3, 2009
Last updated in NPPESMarch 3, 2009

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