Alyssa Amber Lake

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

150 Glen Cove Marina Rd E
Vallejo, CA 94591-7292

Phone

(707) 553-1784

NPI assigned

Jul 13, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1124504089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GLEN COVE MARINA RD E",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GLEN COVE MARINA RD E",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917292",
            "telephone_number": "707-553-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "ALYSSA",
        "middle_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cecilia Ferrer Ladao
• Farshid Laghaei, PHARM.D.
• Margaret Lagomarsino
• Joy Hei Matthew Lai
• Robyn Anne Lakamsani, M.D.
• Laksmi Ananta Inc
• Christine Lam, MA
• Kimhai N. Lam, MD
• Loi Lam, M.D.
• Lynda L. Lam, MD

• Behavior Technician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.