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

Lacreisha Lane, QASP

Individual provider Behavior Technician · NPI 1255874863

Lacreisha Lane, QASP is a Behavior Technician in Evans, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

624 Ponder Place Dr
Evans, GA 30809-3343
Phone: (904) 863-9699
Fax: (706) 863-9263
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-16-20579 (GA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1255874863
Entity typeIndividual (Type 1)
GenderFemale
Credentials QASP
Sole proprietorNo
NPI enumeratedNovember 30, 2016
Last updated in NPPESFebruary 20, 2020
Certification dateFebruary 20, 2020

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