MISS KIMBERLY MARIE LAKE (NPI# 1629218656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629218656 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY MARIE LAKE |
| Credential | MA |
| Practice Address |
215 E 95th St 15f New York NY 10128-4077 |
| Practice Telephone | 7817208212 |
| Mailing Telephone | 7817208212 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1958934 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376594713 | Kimberly Sue Lake | Chiropractor | 2525 Kimberly Rd, Ste #1, Bettendorf, IA 52722-3538 | 2006-05-12 |
| 1811472277 | Kimberly Lake | Counselor | 720 14th Avenue, Longview, WA 98632 | 2018-10-01 |
| 1821532250 | Kimberly Jane Lake | Nurse Practitioner | 250 W 89th St, Apartment 11f, New York, NY 10024-1700 | 2016-12-03 |
| 1366773517 | Kimberly J Lake | Dentist | 3434 W Illinois Ave, Ste 307, Dallas, TX 75211-8709 | 2010-01-27 |
| Street Address |
215 E 95TH ST 15F |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-4077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159801 | Damion P Sanchez | Anesthesiology | 215 E 95th St, New York, NY 10128-4077 | 2005-10-26 |
| 1366082588 | Paige Gudim | Nurse Practitioner | 215 E 95th St, New York, NY 10128-4077 | 2020-01-15 |
| 1316462286 | Lindsay Sarrel | Nurse Practitioner | 215 E 95th St, New York, NY 10128-4077 | 2017-08-11 |
| 1639610835 | Divya Sundarapandiyan | Student in an Organized Health Care Education/Training Program | 215 E 95th St, Apt 25c, New York, NY 10128-4077 | 2017-03-20 |
| 1164894218 | Brian Schaffer | Behavioral Analyst | 215 E 95th St, Apt 22c, New York, NY 10128-4077 | 2015-10-28 |
| 1790156206 | Mary Alaina Rose Burbage | Registered Nurse | 215 E 95th St, New York, NY 10128-9480 | 2015-10-09 |
| 1528441672 | Hunter Polese | Registered Nurse | 215 E 95th St, New York, NY 10128-4007 | 2015-07-08 |
| 1629466271 | Christine Mcgurn | Student in an Organized Health Care Education/Training Program | 215 E 95th St, New York, NY 10128-4077 | 2015-01-06 |
| 1538569363 | Eva Ledezma | Dietitian, Registered | 215 E 95th St, New York, NY 10128-4077 | 2014-08-29 |
| 1306257746 | Amber Rosenthal | Registered Nurse | 215 E 95th St, New York, NY 10128-4077 | 2014-05-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
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| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001701 | Precious S Reid | Behavioral Analyst | 135 W 50th St Bsmt A, New York, NY 10020-1201 | 2020-10-22 |
| 1083211825 | Gabriella Davila Davila | Behavioral Analyst | 50 Riverside Blvd Apt 24b, New York, NY 10069-0252 | 2020-10-05 |
| 1245842996 | Tanisha Ramirez | Behavioral Analyst | 237 W 127th St Apt 5a, New York, NY 10027-2923 | 2020-08-22 |
| 1821608076 | Julie Greene | Behavioral Analyst | 415 E 85th St Apt 5j, New York, NY 10028-6356 | 2020-08-03 |
| 1194343541 | Meaghan Theresa Boyle | Behavioral Analyst | 107 W 82nd St Ste 101, New York, NY 10024-5511 | 2020-07-13 |
| 1134746415 | Teri Steinberg | Behavioral Analyst | 55 W 89th St Apt 4f, New York, NY 10024-2028 | 2020-07-02 |
| 1447875422 | Hannah Adrienne Berrie | Behavioral Analyst | 520 E 20th St Apt 9c, New York, NY 10009-8314 | 2020-06-15 |
| 1487278107 | Frances Sevilla | Behavioral Analyst | 135th West 50th Street, New York, NY 10020 | 2020-05-29 |
| 1609409721 | Tpg Aba Services LLC | Behavioral Analyst | 100 E 74th St Apt 2g, New York, NY 10021-3544 | 2020-02-17 |
| 1184255655 | Yuan Yuan Qi | Behavioral Analyst | 125 Delancey Streetapt 2106, New York, NY 10002-5386 | 2020-02-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.