Jeremy Vanbrunt
Behavior Technician in Wagoner, OK. Individual provider (NPI-1).
NPI number1164031704
StatusActive
Last updated in NPPESJul 29, 2020
Details
- NPI
- 1164031704
- Entity type
- Individual (NPI-1)
- Name
- Jeremy Vanbrunt
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2020
- Certification date
- Jul 29, 2020
- Last updated
- Jul 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
109 S Harrill AveWagoner, OK 74467-5317
Phone 918-304-7323
Mailing address
506 Se 6th StWagoner, OK 74467-6211
Phone 918-304-7323
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Behavior Technician providers in Wagoner, OK
- Taren DavisNPI 1710412408
- Alesha LenardNPI 1982251591
- Chelsea Nicole MasonNPI 1265035711
- Jeremy Lee ThompsonNPI 1306315700
- Skyla WrightNPI 1134655921
All 6 Behavior Technician providers in Wagoner · All 366 providers in Wagoner
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.