IndividualActive
Kiersten Lake
NPI 1962238055 · Behavior Technician · Statesboro, GA
Kiersten Lake is a Behavior Technician provider in Statesboro, GA (NPI 1962238055).
Provider details
- NPI number
- 1962238055
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458-3113
Phone: (912) 208-2024
Street-level locationGet directions
Mailing address
2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791
Registry dates
- Enumerated
- 2024-09-13
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Frequently asked questions
- What is Kiersten Lake's NPI number?
- Kiersten Lake's National Provider Identifier (NPI) is 1962238055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kiersten Lake's specialty?
- Kiersten Lake is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kiersten Lake located?
- Kiersten Lake's practice location on file with NPPES is 24 Joe Kennedy Blvd Ste 13, Statesboro, GA 30458-3113.
- What is Kiersten Lake's phone number?
- The practice phone number listed in the NPPES registry for Kiersten Lake is (912) 208-2024.
- Is Kiersten Lake's NPI active?
- Yes — Kiersten Lake's NPI (1962238055) is active in the NPPES registry as of the last update on 2024-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.