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

Ashley Lake

Individual provider Behavior Technician · NPI 1508436635

Ashley Lake is a Behavior Technician in Statesboro, Georgia. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

24 Joe Kennedy Blvd Ste 3
Statesboro, GA 30458-3103
Phone: (912) 208-2024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1508436635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021
Mailing addressPo Box 663, Lakeland, MI 48143-0663

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