IndividualActive
Matthew Lake
NPI 1790326080 · Behavior Technician · Warren, MI
Matthew Lake is a Behavior Technician provider in Warren, MI (NPI 1790326080).
Provider details
- NPI number
- 1790326080
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 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
2 documented practice locations
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
3601 E 11 Mile Rd
Warren, MI 48092-2878
Phone: (303) 989-8169
Street-level locationGet directions
Mailing address
3601 E 11 Mile Rd
Warren, MI 48092-2878
Additional practice locations (1)
- 8285 S Saginaw St Ste 7Grand Blanc, MI 48439-2436Phone: (810) 321-3001
Registry dates
- Enumerated
- 2019-10-08
- Last updated
- 2020-09-29
- Certified
- 2020-09-29
Frequently asked questions
- What is Matthew Lake's NPI number?
- Matthew Lake's National Provider Identifier (NPI) is 1790326080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Lake's specialty?
- Matthew Lake is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Matthew Lake located?
- Matthew Lake's practice location on file with NPPES is 3601 E 11 Mile Rd, Warren, MI 48092-2878.
- What is Matthew Lake's phone number?
- The practice phone number listed in the NPPES registry for Matthew Lake is (303) 989-8169.
- Is Matthew Lake's NPI active?
- Yes — Matthew Lake's NPI (1790326080) is active in the NPPES registry as of the last update on 2020-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.