JALISSA LAKE
NPI 1962991588
Behavior Analyst in Tampa, FL
- Individual
- Female
- Behavior Analyst
About JALISSA LAKE
This page provides the complete NPI Profile along with additional information for Jalissa Lake, a provider established in Tampa, Florida with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1962991588 assigned on May 2018. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1962991588 Verify this NPI
- Provider Name
- JALISSA LAKE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4940 NORTHDALE BLVD TAMPA, FL 33624
- Location Phone
- (813) 485-8444
- Mailing Address
- 4940 NORTHDALE BLVD TAMPA, FL 33624
- Mailing Phone
- (813) 485-8444
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-09-2018
- Last Update Date
- 08-07-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Behavior Analyst
- Taxonomy Code
- 103K00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962991588, enumerated as an "individual" on May 09, 2018.
The provider is located at 4940 NORTHDALE BLVD TAMPA, FL 33624 and the phone number is (813) 485-8444.
Behavior Analyst with taxonomy code 103K00000X.
