Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alyssa Loren Blake

Individual provider Behavior Technician · NPI 1285525642

Alyssa Loren Blake is a Behavior Technician in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

3330 Chastain Meadows Pkwy NW Ste 200
Kennesaw, GA 30144-5881
Phone: (678) 648-7644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-25-477431 (GA)

Record details

NPI number1285525642
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 14, 2025
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing address6505 Shiloh Rd Ste 100, Alpharetta, GA 30005-1645

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