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NPI Code Detail

MEDICARE: ANASTASIA BUCHANAN

MEDICARE: ANASTASIA BUCHANAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1922748292
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIA BUCHANAN
Provider Business Mailing Address
First Line : PO BOX 151716
Second Line :
City : AUSTIN
State : TX
Zip : 78715-1716
Country : US
Telephone Number : 512-898-9044
Fax Number : 512-857-1423
Provider Business Practice Location Address
First Line : 106 NORTHWEST DR
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-4250
Country : US
Telephone Number : 512-898-9044
Fax Number : 512-857-1423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2022
Last Update Date : 04/01/2022

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Directions to “ ANASTASIA BUCHANAN ” Practice Location

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