CHRISTIAN MIRZAIEE BUCHANAN
NPI 1659959708
Behavior Analyst in Conyers, GA

Active since March 31, 2021
2415 WALL ST SE, CONYERS, GA 30013(470) 207-8845(317) 520-8200 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 7, 2022, Mar 31, 2021 (2 updates tracked since 2021).

About Christian Mirzaiee Buchanan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN MIRZAIEE BUCHANAN (NPI 1659959708) is an individual behavior analyst provider in Conyers, Georgia, licensed in Georgia (1-22-62904) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1659959708
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameCHRISTIAN MIRZAIEE BUCHANAN
Location Address2415 WALL ST SEConyers, GA 30013-6384
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateMarch 31, 2021
Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration
NPPES CertifiedDecember 7, 2022
NPI 1659959708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in GA · 1-22-62904
Definition

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

2415 WALL ST SE, Conyers, GA 30013

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
2415 WALL ST SE, SUITE B
CONYERS, GA 30013
Orthopaedic Surgery
2415 WALL ST SE, SUITE B
CONYERS, GA 30013
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2415 WALL ST SE
CONYERS, GA 30013
Behavior Technician
2415 WALL ST SE
CONYERS, GA 30013
Behavior Technician
2415 WALL ST SE
CONYERS, GA 30013
Behavior Technician
2415 WALL ST SE
CONYERS, GA 30013
Behavior Technician
2415 WALL ST SE
CONYERS, GA 30013
Behavior Technician
2415 WALL ST SE
CONYERS, GA 30013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659959708, enumerated as an "individual" on March 31, 2021.

The provider is located at 2415 WALL ST SE CONYERS, GA 30013 and the phone number is (470) 207-8845.

Behavior Analyst with taxonomy code 103K00000X.