What is Jalissa Lake's NPI number?

Jalissa Lake's National Provider Identifier (NPI) is 1962991588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jalissa Lake's specialty?

Jalissa Lake is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).

Where is Jalissa Lake located?

Jalissa Lake's practice location on file with NPPES is 4940 Northdale Blvd, Tampa, FL 33624-1075.

What is Jalissa Lake's phone number?

The practice phone number listed in the NPPES registry for Jalissa Lake is (813) 485-8444.

Is Jalissa Lake's NPI active?

Yes — Jalissa Lake's NPI (1962991588) is active in the NPPES registry as of the last update on 2025-08-07.

IndividualActive

Jalissa Lake

NPI 1962991588 · Behavior Analyst · Tampa, FL

Jalissa Lake is a Behavior Analyst provider in Tampa, FL (NPI 1962991588).

Provider details

NPI number: 1962991588
Entity type: Individual
Primary specialty: Behavior AnalystBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Behavior AnalystPrimary103K00000X
Behavioral Health & Social Service Providers
Behavior Technician106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
8 yrs 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

4940 Northdale Blvd

Tampa, FL 33624-1075

Phone: (813) 485-8444

Street-level locationGet directions

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Mailing address