Provider Demographics
NPI:1942823497
Name:BUCHANAN, HANNAH EVE (MA BCBA LBA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:EVE
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:MA BCBA LBA
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:EVE
Other - Last Name:SELTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10800 MIDLOTHIAN TPKE STE 100
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-4700
Mailing Address - Country:US
Mailing Address - Phone:804-897-1753
Mailing Address - Fax:888-857-8088
Practice Address - Street 1:1107 ALVERSER DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2655
Practice Address - Country:US
Practice Address - Phone:804-897-1753
Practice Address - Fax:888-857-8088
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0133001465103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst