Loretta Victoria Buchanan
Individual provider Active NPI Behavior Technician · Tyrone, GA
NPI 1306754239 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1306754239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 100 Commerce Dr
Tyrone, GA 30290-8001 - Phone
- (404) 966-3933
- NPI assigned
- Aug 31, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | GA | Yes |
Addresses
Primary practice location
100 Commerce Dr
Tyrone, GA 30290-8001
Mailing address
7030 Connell Rd
Fairburn, GA 30213-3160
Phone (404) 966-3933
Other providers in Tyrone, GA
- Brighton Healthcare LLC
- James Brown
- Cymbre Brumbeloe
- Monica Lorraine Bryant
- Kanarashinque Buchanan
- Heather Cantrell
- Melissa Capecelatro
- Carlos Ramos DMD; PC
- Margery McMichael Carr
- Gloria J Carusi
All providers in Tyrone, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.