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

Georgia Lake

Individual provider Behavior Technician · NPI 1093691164

Georgia Lake is a Behavior Technician in Sanford, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5739 Byron Anthony Pl
Sanford, FL 32771-8637
Phone: (321) 483-7880
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1093691164
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2025
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025
Mailing address128 Kaywood Dr, Sanford, FL 32771-8836

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