GEORGIA LAKE
NPI 1093691164
Behavior Technician in Sanford, FL
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
Specialties & Licenses
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.