Funderburk, Jake

Funderburk, Jake is an sole proprietor health care provider with primary practice located at 1243 S 74Th East Ave , Tulsa OK 74112-6717. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Funderburk, Jake can be contacted via phone (318) 423-5431.

Contact Information

Primary practice address
1243 S 74Th East Ave Tulsa OK 74112-6717
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X L083484046 Oklahoma

Profile Details

NPI number 1861233918
LBN Legal business name Funderburk, Jake
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2024
Last updated Jun 3rd, 2024 - about 5 months 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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