Individual
BERNARD FUNDERBURK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8805 W 14TH AVE STE 100, LAKEWOOD, CO 80215-4850
(720) 414-1456
Mailing address
6130 W 40TH AVE APT 9, WHEAT RIDGE, CO 80033-5059
(720) 387-1575
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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