Search › California › 103K00000X
Elizabeth Lake, MA, BCBA/LBA
NPI 1033702287 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1550 Broadstone Pkwy Apt 2307
Folsom, CA 95630 - Phone
- (805) 297-0029
- Clinicians at this address
- 2
Additional practice sites
- 5457 Sw Canyon Ct, Portland, OR
- 32650 State Route 20 Ste E204, Oak Harbor, WA
- 1851 Nw Civic Dr, Gresham, OR
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
103K00000X
103K00000X - Licence states on file
- OR, CA, WA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California