SearchGeorgiaBehavior Technician

Lacreisha Lane, QASP

NPI 1255874863 · on the registry since 2016

Practice

Address
624 Ponder Place Dr
Evans, GA 30809
Phone
(904) 863-9699
Fax
(706) 863-9263
Clinicians at this address
25

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Also registered as
Behavior Technician
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia