Individual
JACOB HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRSS, AUA
Contact information
Practice address
14828 SERENITA AVE, OKLAHOMA CITY, OK 73134-2028
(405) 839-7300
Mailing address
3912 NW 60TH ST, OKLAHOMA CITY, OK 73112-1461
(405) 203-4346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
10/20/2025
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