Gabriel Yusef Buchanan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

NV20111108715 Issued in NV

Practice address

4765 E Imperial Ave
Las Vegas, NV 89104-5834

Phone

(702) 326-9238

NPI assigned

Feb 15, 2011

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1992002638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 E IMPERIAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045834",
            "telephone_number": "702-326-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 E IMPERIAL AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891045834",
            "telephone_number": "702-326-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "GABRIEL",
        "middle_name": "YUSEF",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "NV20111108715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Buchan
• Gabrielle T Buchana
• Anjelica Antonia Buchanan
• Courtney Buchanan
• Denver E Buchanan, PHARM.D.
• Kayla Elizabeth Buchanan
• Kirby John Buchanan, DO
• Marlin Buchanan
• William Buchanan, PT, DPT
• Zelda Buchanan

• Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.