Ashley Lake
Behavior Technician · Statesboro, GA
NPI number
1508436635
Practice location
24 Joe Kennedy Blvd Ste 3Statesboro, GA 30458-3103
- Phone
- (912) 208-2024
NPI record
- NPI
- 1508436635
- Entity type
- Individual (Type 1)
- Enumeration date
- June 30, 2021
- Last updated
- June 30, 2021
- Certified
- June 30, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
PO Box 663Lakeland, MI 48143-0663
- Phone
- (810) 599-2129
About Ashley Lake
Ashley Lake is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 24 Joe Kennedy Blvd Ste 3, Statesboro, GA 30458-3103. The NPI number 1508436635 was assigned on June 30, 2021 and the record was last updated on June 30, 2021.
Frequently asked questions
What is the NPI number of Ashley Lake?
The NPI number is 1508436635.
What is the phone number of Ashley Lake?
The phone number listed for the practice location is (912) 208-2024.
Where is Ashley Lake located?
24 Joe Kennedy Blvd Ste 3, Statesboro, GA 30458-3103.
What is the taxonomy code for Ashley Lake?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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