What is Dominique Lake's NPI number?

Dominique Lake's National Provider Identifier (NPI) is 1336791060, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dominique Lake's specialty?

Dominique Lake is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Dominique Lake located?

Dominique Lake's practice location on file with NPPES is 6400 Tupelo Dr, Citrus Heights, CA 95621-1741.

What is Dominique Lake's phone number?

The practice phone number listed in the NPPES registry for Dominique Lake is (916) 729-3098.

Is Dominique Lake's NPI active?

Yes — Dominique Lake's NPI (1336791060) is active in the NPPES registry as of the last update on 2019-07-12.

IndividualActive

Dominique Lake

NPI 1336791060 · Behavior Technician · Citrus Heights, CA

Dominique Lake is a Behavior Technician provider in Citrus Heights, CA (NPI 1336791060).

Provider details

NPI number: 1336791060
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6400 Tupelo Dr

Citrus Heights, CA 95621-1741

Phone: (916) 729-3098

Street-level locationGet directions

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Mailing address