Healthcare Provider Details

I. General information

NPI: 1760394217
Provider Name (Legal Business Name): MARELLA BUCHANAN HUNTER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361770 PINE ST
HILLIARD FL
32046-6728
US

IV. Provider business mailing address

361770 PINE ST
HILLIARD FL
32046-6728
US

V. Phone/Fax

Practice location:
  • Phone: 904-237-7034
  • Fax:
Mailing address:
  • Phone: 904-237-7034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2830418
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: