ERIC L LAKE (NPI# 1700437274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700437274 |
| Entity Type | Individual |
| Full Name | ERIC L LAKE |
| Practice Address |
8285 S Saginaw St Ste 7 Grand Blanc MI 48439-2436 |
| Practice Telephone | 8103213001 |
| Mailing Telephone | 8103213001 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053644377 | Eric Lake | Counselor | 4732 S 131st St, Omaha, NE 68137-1822 | 2009-09-18 |
| 1710919139 | Eric J Lake | Family Medicine | 525 W Chester Pike, Suite 203, Havertown, PA 19083-4500 | 2006-07-07 |
| Street Address |
8285 S SAGINAW ST STE 7 |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235614348 | Helping Hand Autism Services LLC | Community/Behavioral Health | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2018-09-25 |
| 1518567692 | Meghan J Hitt | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-28 |
| 1598365678 | Nia N Randle | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-28 |
| 1477153880 | Kyle Woodruff | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-27 |
| 1801496211 | Brianna Jefferson | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-27 |
| 1821698234 | Rebecca Bolang | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-27 |
| 1891393591 | Marisol Sanchez | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-14 |
| 1760080063 | Tanasia Montgomery | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-09 |
| 1780282046 | Allison Mckenna Smith | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-09 |
| 1396342820 | Cullen O'donnell | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184249997 | Breanna Burrows | Behavior Technician | 9349 Parkview Cir, Grand Blanc, MI 48439-8058 | 2020-06-08 |
| 1558905752 | Christina Marie Frost | Behavior Technician | 8285 S. Saginaw Suite 7, Grand Blanc, MI 48439-2436 | 2019-10-30 |
| 1598259962 | Cody Michael Cheza | Behavior Technician | 4341 E Cook Rd, Grand Blanc, MI 48439-8026 | 2018-06-19 |
| 1174050520 | Gabrielle Lucia Kline | Behavior Technician | 10078 Shadyhill Ln, Grand Blanc, MI 48439-8319 | 2017-05-16 |
| 1225579725 | Jessica Harrison | Behavior Technician | G-8305 S. Saginaw St, Grand Blanc, MI 48439 | 2017-03-16 |
| 1225577307 | Joshua Bowers | Behavior Technician | 1123 Green Meadows Dr, Grand Blanc, MI 48439-8903 | 2017-02-22 |
| 1538536727 | Misty Emmert | Behavior Technician | 10370 Linden Rd, Grand Blanc, MI 48439-9363 | 2015-08-24 |
| 1518567692 | Meghan J Hitt | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-28 |
| 1598365678 | Nia N Randle | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-28 |
| 1477153880 | Kyle Woodruff | Behavior Technician | 8285 S Saginaw St Ste 7, Grand Blanc, MI 48439-2436 | 2020-10-27 |
| Find all providers in GRAND BLANC | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on ERIC L LAKE.
| 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.