Zachary Lakebrink
Individual provider Active NPI Behavior Technician · Sugar Hill, GA
NPI 1508754029 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1508754029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-275391 (GA)
- Practice address
- 541 Bellingham Dr
Sugar Hill, GA 30518-7817 - Phone
- (770) 846-1717
- NPI assigned
- Jun 24, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-275391 | GA | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-275391 | GA | Yes |
Addresses
Primary practice location
541 Bellingham Dr
Sugar Hill, GA 30518-7817
Mailing address
541 Bellingham Dr
Sugar Hill, GA 30518-7817
Phone (770) 846-1717
Other providers in Sugar Hill, GA
- Just Heal Counseling
- Daesung Kim
- Mark Andrew Kral
- Paul Stanley Kudyba Jr.
- Lake Lanier Eye Care, LLC
- Millicent Lampa
- Kristy Williams Larson
- Kimberly Loan Le
- Hallye S. Lee
- Jennifer Faith Lee
All providers in Sugar Hill, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.