Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285918193 Individual Practitioner Female Practitioner

Dr. Candice M Lake , BCBA-D, LLP

Behavior Analyst • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Dr. Candice Lake, BCBA-D, LLP is a registered healthcare professional specializing in Behavior Analyst in Grand Rapids, MI. Practice services are available at 1260 EKHART ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1260 Ekhart St Ne

Grand Rapids, MI 495031380

Telephone 6169653470
Associated Practice Facility / Clinic
🏢 Wedgwood Christian Services Facility NPI 1215047667

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
252 Specialists

Practicing in Grand Rapids, MI (3207 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MI 01-07-3561

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License MI 6301016173

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
10025695700 (NE)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kathleen Bardsley

Behavior Analyst

NPI 1033585005
Petra Bromley

Behavior Technician

NPI 1033814447
Ariana Ortega

Behavior Technician

NPI 1043045644
NPI 1043679251

Master of Arts, Board Certified Behavior Analyst, Licensed Behavior Analyst

Lisa Dehaan , BSR

Behavior Technician

NPI 1063903888
Camille Macklin

Behavior Technician

NPI 1073028445

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 21, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2016

Registered at 1260 EKHART ST NE, GRAND RAPIDS, MI 495031380 (Tel: 6169653470)

📍
Updated Business Mailing Address March 21, 2016

Registered at 3300 36TH ST SE, GRAND RAPIDS, MI 495122810 (Tel: 6169653470)

👤
Provider Name / Credentials Updated March 21, 2016

Recorded as CANDICE LAKE, BCBA-D, LLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2016

Psychologist (License #6301016173 in MI)

🟢
Initial NPI Registration & Enumeration October 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285918193
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2011
Last Update: March 21, 2016
Sole Proprietor: No

Mailing Address

3300 36th St Se

Grand Rapids, MI 495122810

Phone: 6169653470

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.