Nicolette Lake
Nicolette Lake is a Behavior Analyst in Garden Grove, California. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
12459 Lewis St Ste 201Garden Grove, CA 92840-6606
Phone: (800) 249-1266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|---|
| Behavior Analyst | Taxonomy 103K00000X |
Record details
| NPI number | 1235835638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 7, 2023 |
| Last updated in NPPES | July 26, 2025 |
| Certification date | July 26, 2025 |
| Mailing address | 12459 Lewis St Ste 201, Garden Grove, CA 92840-6606 |
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