What is Tara Lake's NPI number?

Tara Lake's National Provider Identifier (NPI) is 1790223196, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Tara Lake's specialty?

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

Where is Tara Lake located?

Tara Lake's practice location on file with NPPES is 5803 W Craig Rd Ste 105, Las Vegas, NV 89130-2537.

What is Tara Lake's phone number?

The practice phone number listed in the NPPES registry for Tara Lake is (702) 901-5200.

Is Tara Lake's NPI active?

Yes — Tara Lake's NPI (1790223196) is active in the NPPES registry as of the last update on 2017-02-06.

IndividualActive

Tara Lake

NPI 1790223196 · Behavior Technician · Las Vegas, NV

Tara Lake is a Behavior Technician provider in Las Vegas, NV (NPI 1790223196).

Provider details

NPI number: 1790223196
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(64/100 index)

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

Registry tenure38% of score
9 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

5803 W Craig Rd Ste 105

Las Vegas, NV 89130-2537

Phone: (702) 901-5200

Street-level locationGet directions

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Mailing address