Active NPI
Breana Mae Buchanan
- Behavior Technician
- Sacramento, CA
National Provider Identifier
1356840987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 8801 Folsom Blvd Ste 195
Sacramento, CA 95826-3231 - Phone
- (916) 382-4447
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
8801 Folsom Blvd Ste 195
Sacramento, CA 95826-3231
Mailing address
182 Oak Ridge Dr
Valley Springs, CA 95252-8619
Phone (916) 477-9406
Other practice location 1
2151 Professional Dr Ste 100
Roseville, CA 95661-3761
Phone (916) 771-0520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1356840987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "182 OAK RIDGE DR",
"city": "VALLEY SPRINGS",
"state": "CA",
"postal_code": "952528619",
"telephone_number": "916-477-9406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 FOLSOM BLVD STE 195",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263231",
"telephone_number": "916-382-4447"
}
],
"practiceLocations": [
{
"address_1": "2151 Professional Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956613761",
"country_code": "US",
"telephone_number": "916-771-0520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHANAN",
"first_name": "BREANA",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.