Individual
CHRISTIAN MIRZAIEE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 WALL ST SE, CONYERS, GA 30013-6384
(470) 207-8845
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62904
GA
Other
Enumeration date
03/31/2021
Last updated
12/07/2022
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