JAZZMIQUE MARIE LAKE RBT
NPI 1679183511
Behavior Analyst in Atlanta, GA

Q: What is Jazzmique Lake's NPI number?

The NPI number for Jazzmique Lake is 1679183511. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Q: What is Jazzmique Lake's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Jazzmique Lake was last updated on April 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 05, 2020

1215 HIGHTOWER TRL STE B120, ATLANTA, GA 30350(866) 523-4268 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2021, Aug 5, 2020 (2 updates tracked since 2020).

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About Jazzmique Marie Lake Rbt NPPES

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

JAZZMIQUE MARIE LAKE RBT (NPI 1679183511) is an individual behavior analyst provider in Atlanta, Georgia and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1679183511

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJAZZMIQUE MARIE LAKECredential: RBT

Location Address1215 HIGHTOWER TRL STE B120Atlanta, GA 30350-6205

Mailing Address1215 Hightower Trl Ste B120Atlanta, GA 30350-6205

Phone(866) 523-4268

Sole ProprietorNo

Enumeration DateAugust 5, 2020

Last NPPES UpdateApril 14, 20212 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1679183511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Also ListedBehavior TechnicianTaxonomy 106S00000X

1215 HIGHTOWER TRL STE B120, Atlanta, GA 30350

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