Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124869458 Individual Practitioner Female Practitioner

Makena Leigh Lake

Behavior Technician • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Makena Lake is a registered healthcare professional specializing in Behavior Technician in Clovis, CA. Practice services are available at 1420 SHAW AVE STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1420 Shaw Ave Ste 105

Clovis, CA 936114072

Telephone 5593140616

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
310 Specialists

Practicing in Clovis, CA (172337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-02
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License CA Y7031147

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Alyssa Gross

Behavior Technician

NPI 1053024679
Micayla Olsen

Behavior Technician

NPI 1104796309
Ahlanah Bobo

Behavior Technician

NPI 1124991278
Vincent Thach

Behavior Technician

NPI 1255296653
Addison Downs

Behavior Technician

NPI 1255298600
Julia Maxwell

Behavior Technician

NPI 1588537666

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2024

Registered at 1420 SHAW AVE STE 105, CLOVIS, CA 936114072 (Tel: 5593140616)

📍
Updated Business Mailing Address June 03, 2024

Registered at 996 ROYAL MARCO WAY FL 34145, MARCO ISLAND, FL 341451829

👤
Provider Name / Credentials Updated June 03, 2024

Recorded as MAKENA LAKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2024

Behavior Technician (License #Y7031147 in CA)

🟢
Initial NPI Registration & Enumeration June 03, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1124869458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2024
Last Update: June 03, 2024
Sole Proprietor: No

Mailing Address

996 Royal Marco Way Fl 34145

Marco Island, FL 341451829

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.