Individual
JENNIFER BRUMMERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7509 S 95TH EAST AVE, TULSA, OK 74133-5273
(918) 863-9307
Mailing address
7509 S 95TH EAST AVE, TULSA, OK 74133-5273
(918) 863-9307
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-20103
OK
Other
Enumeration date
11/21/2016
Last updated
04/18/2017
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