Provider Demographics
NPI:1417741125
Name:BUCHANAN, ERICA CONNICE (BT)
Entity type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:CONNICE
Last Name:BUCHANAN
Suffix:
Gender:
Credentials:BT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 N ALAFAYA TRL STE 300
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4748
Mailing Address - Country:US
Mailing Address - Phone:407-720-4101
Mailing Address - Fax:
Practice Address - Street 1:2100 N ALAFAYA TRL STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4748
Practice Address - Country:US
Practice Address - Phone:407-720-4101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician