MEDICARE: BREA FURMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-15-20660

General Provider Information

NPI Number	:	1497277248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BREA FURMAN

Provider Business Mailing Address
First Line	:	2600 N VALLEY VIEW RD UNIT 118
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-7207
Country	:	US
Telephone Number	:	267-352-3409
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 N VALLEY VIEW RD UNIT 118
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86004-7207
Country	:	US
Telephone Number	:	267-352-3409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2017
Last Update Date	:	06/02/2026

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Directions to “ BREA FURMAN ” Practice Location

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