Individual provider · Type 1 NPI

Georgia Lake

Behavior Technician · Sanford, FL

NPI number 1093691164 Active

Practice location

5739 Byron Anthony Pl
Sanford, FL 32771-8637

Call (321) 483-7880 Map

Mailing address

128 Kaywood Dr
Sanford, FL 32771-8836

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

Other behavior technician providers in Sanford

See all in Sanford →

About NPI 1093691164

Georgia Lake's National Provider Identifier is 1093691164, issued on Aug 14, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Sanford, FL. The record was last updated on Aug 14, 2025.