LACREISHA LANE QASP
NPI 1255874863
Behavior Technician in Evans, GA

Active since November 30, 2016
624 PONDER PLACE DR, EVANS, GA 30809(904) 863-9699(706) 863-9263 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lacreisha Lane Qasp NPPES

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

LACREISHA LANE QASP (NPI 1255874863) is an individual behavior technician in Evans, Georgia, licensed in Georgia (RBT-16-20579) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1255874863
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameLACREISHA LANECredential: QASP
Location Address624 PONDER PLACE DREvans, GA 30809-3343
Mailing Address10175 Fortune Pkwy, Suite 903Jacksonville, FL 32256-6746 · (904) 538-0713 · Fax (904) 538-0714
Fax(706) 863-9263
Sole ProprietorNo
Enumeration DateNovember 30, 2016
Last NPPES UpdateFebruary 20, 2020
NPI 1255874863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in GA · RBT-16-20579
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.
624 PONDER PLACE DR, Evans, GA 30809

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
624 PONDER PLACE DR
EVANS, GA 30809
Behavior Technician
624 PONDER PLACE DR
EVANS, GA 30809
Behavior Analyst
624 PONDER PLACE DR
EVANS, GA 30809
Behavior Technician
624 PONDER PLACE DR
EVANS, GA 30809
Behavior Technician
624 PONDER PLACE DR
EVANS, GA 30809
Behavior Technician
624 PONDER PLACE DR
EVANS, GA 30809
Behavior Technician
624 PONDER PLACE DR
EVANS, GA 30809
Behavior Technician
624 PONDER PLACE DR
EVANS, GA 30809

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 Lacreisha Lane's NPI number?

The NPI number for Lacreisha Lane is 1255874863. It was assigned to this individual provider in the NPPES registry on November 30, 2016.

Where is Lacreisha Lane located?

Lacreisha Lane practices at 624 Ponder Place Dr, Evans, GA 30809. The listed phone number is (904) 863-9699.

What is Lacreisha Lane'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 Lacreisha Lane was last updated on February 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.