Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942976121 Individual Practitioner Female Practitioner

Destiny Antonia Lake

Behavior Technician • Weidman, MI

Professional Overview & Biography Verified Profile Summary

Destiny Lake is a registered healthcare professional specializing in Behavior Technician in Weidman, MI. Practice services are available at 6151 W NOTTAWA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6151 W Nottawa St

Weidman, MI 488939710

Telephone 9898248195

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Weidman, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Weidman, MI (63826 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: 2021-08-04
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2021

Registered at 6151 W NOTTAWA ST, WEIDMAN, MI 488939710 (Tel: 9898248195)

📍
Updated Business Mailing Address August 18, 2021

Registered at 6151 W NOTTAWA ST, WEIDMAN, MI 488939710 (Tel: 9898248195)

👤
Provider Name / Credentials Updated August 18, 2021

Recorded as DESTINY LAKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2021

Behavior Technician

🟢
Initial NPI Registration & Enumeration August 18, 2021

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: 1942976121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2021
Last Update: August 18, 2021
Sole Proprietor: No

Mailing Address

6151 W Nottawa St

Weidman, MI 488939710

Phone: 9898248195

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.