Georgia Lake
Behavior Technician in Sanford, FL. Individual provider (NPI-1).
NPI number1093691164
StatusActive
Last updated in NPPESAug 14, 2025
Details
- NPI
- 1093691164
- Entity type
- Individual (NPI-1)
- Name
- Georgia Lake
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2025
- Certification date
- Aug 14, 2025
- Last updated
- Aug 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
5739 Byron Anthony PlSanford, FL 32771-8637
Phone 321-483-7880
Mailing address
128 Kaywood DrSanford, FL 32771-8836
Phone 321-460-6765
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Technician providers in Sanford, FL
- Fredrick A AguileraNPI 1801571203
- Natdlie AugusteNPI 1518646801
- Wislande BernadeauNPI 1740937556
- Taylor BerryNPI 1346022555
- Reanne BishopNPI 1285217232
- Daniele BowerNPI 1568037133
- Tabitha BoydNPI 1205387206
- Alajade BrownNPI 1598512055
- Alexcius Antionette BurnsNPI 1699420737
- Patrick CarrNPI 1093464760
All 70 Behavior Technician providers in Sanford · All 1,641 providers in Sanford
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.