Individual
JORDAN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 HAWTHORNE LN, CHARLOTTE, NC 28204-2312
(704) 780-4271
(888) 261-6694
Mailing address
8606 COLIN JAMES WAY APT 7207, CHARLOTTE, NC 28273-0035
(804) 292-1992
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
NC
Other
Enumeration date
03/11/2021
Last updated
09/05/2024
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