GEORGIA LAKE
NPI 1093691164
Behavior Technician in Sanford, FL

Active since August 14, 2025
5739 BYRON ANTHONY PL, SANFORD, FL 32771(321) 483-7880 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Georgia Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA LAKE (NPI 1093691164) is an individual behavior technician in Sanford, Florida and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1093691164
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameGEORGIA LAKE
Location Address5739 BYRON ANTHONY PLSanford, FL 32771-8637
Mailing Address128 Kaywood DrSanford, FL 32771-8836 · (321) 460-6765
Sole ProprietorNo
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
NPI 1093691164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
5739 BYRON ANTHONY PL, Sanford, FL 32771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Lake's NPI number?

The NPI number for Georgia Lake is 1093691164. It was assigned to this individual provider in the NPPES registry on August 14, 2025.

Where is Georgia Lake located?

Georgia Lake practices at 5739 Byron Anthony Pl, Sanford, FL 32771. The listed phone number is (321) 483-7880.

What is Georgia Lake's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Georgia Lake was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.