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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ASHLEY LAKE

Active

ASHLEY LAKE is a Behavior Technician healthcare provider located in STATESBORO, Georgia. NPI 1508436635 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · STATESBORO, GA

Registration Details

NPI Number
1508436635
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2021 (5.1147916580296 yrs)
Last Updated
Jun 30, 2021

Practice Information

Address
24 JOE KENNEDY BLVD STE 3
STATESBORO, GA, 304583103
Browse GA providers · Browse ZIP 30458
Phone
9122082024
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in STATESBORO, GA

Name Credential NPI
SARAH MILLER RBT 1154987352
HEATHER PETTY 1326646175
VALERIE CAMPBELL 1265007058
ASHLEY BREWER 1720658875
COURTNEY O'NEAL 1518537661
EBONY LAMYIAH WYNN 1417520792
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.