Provider Demographics
NPI:1790220457
Name:BUCHAN, JANNA (BCBA)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:
Last Name:BUCHAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4319 S LEE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5752
Mailing Address - Country:US
Mailing Address - Phone:678-288-9770
Mailing Address - Fax:678-288-9774
Practice Address - Street 1:4319 S LEE ST STE 300
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5752
Practice Address - Country:US
Practice Address - Phone:678-288-9770
Practice Address - Fax:678-288-9774
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst