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Organization

JAELYN BUCHANAN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAELYN BUCHANAN (BEHAVIORAL TECHNICIAN)
(678) 708-6900
Entity
Organization

Contact information

Practice address
150 N CREST BLVD, MACON, GA 31210-1845
(478) 845-7516
Mailing address
150 N CREST BLVD, MACON, GA 31210-1845
(478) 845-7516

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/29/2026
Last updated
05/29/2026
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