Fuller, Aundra Lamar

Fuller, Aundra Lamar is an sole proprietor health care provider with primary practice located at 10922 E. 39Th St. , Tulsa OK 74146. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Fuller, Aundra Lamar can be contacted via phone (918) 282-6850.

Contact Information

Primary practice address
10922 E. 39Th St. Tulsa OK 74146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 99999999999999999999 Oklahoma
Other Service Providers / Case Manager/Care Coordinator 171M00000X 99999999999999999999 Oklahoma

Profile Details

NPI number 1790046654
LBN Legal business name Fuller, Aundra Lamar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2012
Last updated Jun 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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