Individual
DAMIKA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 BASS ROAD, MACON, GA 31201-1061
(478) 843-5415
Mailing address
181 W PROFESSIONAL PARK CT STE 1, BOWLING GREEN, KY 42104-3250
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
18-50381
GA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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