Mr. Gerald R. Funderburg Jr., NONE
Mr. Gerald R. Funderburg Jr., NONE is a Behavior Technician in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
7375 Woodward Ave Ste 2800Detroit, MI 48202-3157
Phone: (888) 922-2843
Fax: (855) 568-2494
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1649304700 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NONE |
| Sole proprietor | Yes |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | April 1, 2022 |
| Certification date | April 1, 2022 |
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