Provider Demographics
NPI:1124735493
Name:PRATT, LAKIN (RBT)
Entity type:Individual
Prefix:
First Name:LAKIN
Middle Name:
Last Name:PRATT
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 OAKHURST CIR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4753
Mailing Address - Country:US
Mailing Address - Phone:425-512-1194
Mailing Address - Fax:
Practice Address - Street 1:6650 BAY SHORE DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-9570
Practice Address - Country:US
Practice Address - Phone:623-628-5037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician