Individual
HANNAH BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
5041 DALLAS HWY BLDG 1-D, POWDER SPRINGS, GA 30127-6459
(678) 567-7813
Mailing address
941 CHEROKEE TRL SE, SMYRNA, GA 30080-1531
(678) 986-1913
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36008
GA
106S00000X
Behavior Technician
RBT-17-44661
—
Other
Enumeration date
01/03/2018
Last updated
06/18/2019
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