Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962991588 Individual Practitioner Female Practitioner

Jalissa Lake

Behavior Analyst • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Jalissa Lake is a registered healthcare professional specializing in Behavior Analyst in Tampa, FL. Practice services are available at 4940 NORTHDALE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4940 Northdale Blvd

Tampa, FL 336241075

Telephone 8134858444
Associated Practice Facility / Clinic
🏢 Shaping Expectations Therapy Facility NPI 1407363641

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
666 Specialists

Practicing in Tampa, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-07
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Tyler Hunt

Behavior Technician

NPI 1023733631
Samantha Cuicar

Behavior Technician

NPI 1053175273
Javan Young

Behavior Technician

NPI 1063276285
Jessie Renaud

Behavior Analyst

NPI 1083228407
NPI 1245989078
Alivia Campbell , MS

Behavior Analyst

NPI 1275882839

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address August 07, 2025

Registered at 4940 NORTHDALE BLVD, TAMPA, FL 336241075 (Tel: 8134858444)

📍
Updated Practice Location October 23, 2022

Registered at 4940 NORTHDALE BLVD, TAMPA, FL 336241075 (Tel: 8134858444)

📍
Updated Practice Location September 26, 2021

Registered at 9200 NW 39TH AVENUE, SUITE 130-1020, GAINESVILLE, FL 326067331 (Tel: 8558326727)

📍
Updated Business Mailing Address September 26, 2021

Registered at 7108 SOUTH KANNER HWY,, STUART, FL 349977462 (Tel: 8666100580)

📍
Updated Business Mailing Address May 30, 2019

Registered at 300 INTERNATIONAL PKWY, STE 200, LAKE MARY, FL 32746 (Tel: 8666100580)

📍
Updated Practice Location October 08, 2018

Registered at 2437 SE 17TH STREET, UNIT 102, OCALA, FL 344719105 (Tel: 8666100580)

NPI Profile Active May 09, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2018

Registered at 2437 SE 17TH ST, OCALA, FL 344719105 (Tel: 8666100580)

📍
Updated Business Mailing Address May 09, 2018

Registered at 175 MIDDLE ST UNIT 1201, LAKE MARY, FL 327463625 (Tel: 8666100580)

👤
Provider Name / Credentials Updated May 09, 2018

Recorded as JALISSA LAKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration May 09, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1962991588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2018
Last Update: August 07, 2025
Sole Proprietor: Yes

Mailing Address

4940 Northdale Blvd

Tampa, FL 336241075

Phone: 8134858444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.