Provider Demographics
NPI:1821652371
Name:BUECHER, VERONICA (BCBA)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:BUECHER
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 1:17 KOHANZA ST APT 2
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06811-4424
Mailing Address - Country:US
Mailing Address - Phone:203-570-0546
Mailing Address - Fax:
Practice Address - Street 1:14 DEPOT PL # 11
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-2540
Practice Address - Country:US
Practice Address - Phone:203-570-0546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-30
Last Update Date:2019-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTBA.000800103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty