MATTHEW R LAKE

WARREN, MI
NPI1790326080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: MI  7401003468)
Enumeration Date2019-10-08
Last Update Date2026-08-20
Business Address
Mr. MATTHEW R LAKE
3601 E 11 MILE RD
WARREN, MI 48092-2878
Phone number: 303-989-8169
Mailing Address
Mr. MATTHEW R LAKE
3601 E 11 MILE RD
WARREN, MI 48092-2878
Phone number: 303-989-8169