Jeremy Vanbrunt

Behavior Technician · Wagoner, OK

Individual Active NPI

NPI number 1164031704

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317
Phone
(918) 304-7323

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NPI record

NPI
1164031704
Entity type
Individual (Type 1)
Enumeration date
July 29, 2020
Last updated
July 29, 2020
Certified
July 29, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

506 SE 6TH St
Wagoner, OK 74467-6211
Phone
(918) 304-7323

About Jeremy Vanbrunt

Jeremy Vanbrunt is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 109 S Harrill Ave, Wagoner, OK 74467-5317. The NPI number 1164031704 was assigned on July 29, 2020 and the record was last updated on July 29, 2020.

Frequently asked questions

What is the NPI number of Jeremy Vanbrunt?

The NPI number is 1164031704.

What is the phone number of Jeremy Vanbrunt?

The phone number listed for the practice location is (918) 304-7323.

Where is Jeremy Vanbrunt located?

109 S Harrill Ave, Wagoner, OK 74467-5317.

What is the taxonomy code for Jeremy Vanbrunt?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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