Provider Demographics
NPI:1588548309
Name:KUCHENBAUR, SAVANNAH LEE
Entity type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:LEE
Last Name:KUCHENBAUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:LEE
Other - Last Name:ROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1935 PERCH HAMMOCK LOOP
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:FL
Mailing Address - Zip Code:34736-8155
Mailing Address - Country:US
Mailing Address - Phone:407-766-7853
Mailing Address - Fax:
Practice Address - Street 1:1935 PERCH HAMMOCK LOOP
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:FL
Practice Address - Zip Code:34736-8155
Practice Address - Country:US
Practice Address - Phone:407-766-7853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician