Mr. Matthew R Lake
Mr. Matthew R Lake is a Behavior Technician in Warren, Michigan. Works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
3601 E 11 Mile RdWarren, MI 48092-2878
Phone: (303) 989-8169
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 — (810) 321-3001
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1790326080 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 8, 2019 |
| Last updated in NPPES | September 29, 2020 |
| Certification date | September 29, 2020 |
Other providers in Warren
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Desirae Kolongowski
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Emi Laho
3601 E 11 Mile Rd, Warren, MI 48092-2878 · (303) 989-8169
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Morgan Laird
3601 E 11 Mile Rd, Warren, MI 48092-2878 · (303) 989-8169
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Ashley Lalone
3601 E 11 Mile Rd, Warren, MI 48092-2878 · (303) 989-8169
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Shauntele Langford
3601 E 11 Mile Rd, Warren, MI 48092-2878 · (303) 989-8169
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Kate Lau
3601 E 11 Mile Rd, Warren, MI 48092-2878 · (303) 989-8169
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Nashonda Lawson
3601 E 11 Mile Rd, Warren, MI 48092-2878 · (303) 989-8169