Provider Demographics
NPI:1316738966
Name:FURR, HAYDEN JAKOB
Entity type:Individual
Prefix:
First Name:HAYDEN
Middle Name:JAKOB
Last Name:FURR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42824 PINE ACRES RD
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NC
Mailing Address - Zip Code:28127-6712
Mailing Address - Country:US
Mailing Address - Phone:980-323-1207
Mailing Address - Fax:
Practice Address - Street 1:12356 PRINCE RD
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NC
Practice Address - Zip Code:28128-7599
Practice Address - Country:US
Practice Address - Phone:704-984-0541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician