Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Ashley Lewis Buchanan

Individual provider Behavior Technician · NPI 1144991472

Blake Ashley Lewis Buchanan is a Behavior Technician in Poplar Bluff, Missouri. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2995 Warrior Ln
Poplar Bluff, MO 63901-8600
Phone: (573) 712-2902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1144991472
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESSeptember 27, 2021
Certification dateSeptember 27, 2021

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