Healthcare Provider Details

I. General information

NPI: 1558288928
Provider Name (Legal Business Name): YAAKOV FURMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22700 CARAVELLE CIR
BOCA RATON FL
33433-5926
US

IV. Provider business mailing address

2702 WACO CT
BALTIMORE MD
21209-2528
US

V. Phone/Fax

Practice location:
  • Phone: 667-400-4407
  • Fax:
Mailing address:
  • Phone: 443-883-0096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: