Active NPI
Christina Michelle Cuzick Lake
- Behavior Analyst
- Post Falls, ID
National Provider Identifier
1073209169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 822 N Terran CT
Post Falls, ID 83854-6011 - Phone
- (605) 858-3104
- NPI assigned
- Apr 12, 2023
- Last updated
- Mar 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NU | Primary | |
| Developmental Therapist | 222Q00000X | NU |
Addresses
Primary practice location
822 N Terran CT
Post Falls, ID 83854-6011
Mailing address
822 N Terran CT
Post Falls, ID 83854-6011
Phone (605) 858-3104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1073209169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 N TERRAN CT",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546011",
"telephone_number": "605-858-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "822 N TERRAN CT",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838546011",
"telephone_number": "605-858-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKE",
"first_name": "CHRISTINA",
"middle_name": "MICHELLE CUZICK",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-12",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.