LISA LAKE TREATMENT CONSULTANT
NPI 1316412364
Behavior Technician in Atlanta, GA

Active since October 05, 2018
1776 CENTURY BLVD NE, ATLANTA, GA 30345(678) 974-2162 Get Directions Write a Review

NPPES record last updated: October 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Lake Treatment Consultant NPPES

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

LISA LAKE TREATMENT CONSULTANT (NPI 1316412364) is an individual behavior technician in Atlanta, Georgia and active in the NPI registry since October 2018. She maintains a secondary practice location in Conyers.

NPPES Registry Identity

NPI1316412364
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameLISA LAKECredential: TREATMENT CONSULTANT
Location Address1776 CENTURY BLVD NEAtlanta, GA 30345-3397
Mailing Address3839 Walnut PathLithonia, GA 30038-4884 · (404) 376-4780
Sole ProprietorYes
Enumeration DateOctober 5, 2018
NPI 1316412364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedContractorTaxonomy 171W00000X
1776 CENTURY BLVD NE, Atlanta, GA 30345

Other Names 1

Other Name (5)Mrs. Lisa Lake Behavior Therapist

Secondary Practice Location 1

Location 11175 Green St SEConyers, GA 30012-5407 · Phone (678) 391-4725

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
1776 CENTURY BLVD NE, SUITE A
ATLANTA, GA 30345
Psychologist (Clinical)
1776 CENTURY BLVD NE, SUITE A
ATLANTA, GA 30345

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 Lisa Lake's NPI number?

The NPI number for Lisa Lake is 1316412364. It was assigned to this individual provider in the NPPES registry on October 5, 2018. The provider is also known as Mrs. Lisa Lake Behavior Therapist.

Where is Lisa Lake located?

Lisa Lake practices at 1776 Century Blvd NE, Atlanta, GA 30345. The listed phone number is (678) 974-2162.

What is Lisa 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 Lisa Lake was last updated on October 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.