Jeremy Vanbrunt

NPI #1164031704 in Wagoner, Oklahoma

Provider Information

NPI Number: 1164031704
Entity Type: Individual
Name: Jeremy Vanbrunt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 29, 2020
Last Updated: Jul 29, 2020

Practice Location

Address: 109 S HARRILL AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5317
Phone: (918) 304-7323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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