Brandie Buckner

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-63973 Issued in GA

Practice address

3338 Trickum Rd
Woodstock, GA 30188-4242

Phone

(470) 472-0039

Fax

(317) 520-8200

NPI assigned

Sep 25, 2020

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Truenorth Behavioral Performance Services

  • Behavior Analyst
  • Milton, GA
  • NPI 1164369245
  NPD Authorized official
• Hopebridge LLC

  • Child & Adolescent Psychiatry Physician
  • Woodstock, GA
  • NPI 1427637776

  Behavior Analyst

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1871100677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 TRICKUM RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884242",
            "telephone_number": "470-472-0039",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Thimble Shoals Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062768",
            "country_code": "US",
            "telephone_number": "757-690-9390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6040 I-55 N Frontage Road",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39211",
            "country_code": "US",
            "telephone_number": "808-492-0929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "BRANDIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-23-63973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D. Brunette, M.D.
• Vicky Morton Bryan, FNP-C
• Lauren Nicole Bryant
• Margaret Buchanan, OTR/L
• Lauren Buckhault, MED., BCBA
• Elise Bugenske, OD
• Savannah Buice
• Molly Bullard, RBT
• Brandon Bullock
• Leah Ann Bulow, MSPT

• Behavior Analyst in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.