Individual provider · Type 1 NPI

Lacreisha Lane, QASP

Behavior Technician · Evans, GA

NPI number 1255874863 Active

Practice location

624 Ponder Place Dr
Evans, GA 30809-3343

Fax (706) 863-9263

Mailing address

10175 Fortune Pkwy, Suite 903
Jacksonville, FL 32256-6746

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Technician Primary 106S00000XRBT-16-20579 (GA)

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…

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About NPI 1255874863

Lacreisha Lane, QASP's National Provider Identifier is 1255874863, issued on Nov 30, 2016. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Evans, GA. The record was last updated on Feb 20, 2020.