# JASON THOMAS VAN BUREN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770119059
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2355S0801X | Speech-Language Assistant | 2023035485 | MO | Yes |
| 261QH0700X | Hearing and Speech Clinic/Center | 41452 | TX | — |

## Other

- **Enumeration date:** 03/18/2020
- **Last updated:** 10/20/2025