Healthcare Provider Details

I. General information

NPI: 1932064698
Provider Name (Legal Business Name): GABRIANA JOANN FOSTER RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12100 SE 137TH ST
OKLAHOMA CITY OK
73165-7817
US

IV. Provider business mailing address

12100 SE 137TH ST
OKLAHOMA CITY OK
73165-7817
US

V. Phone/Fax

Practice location:
  • Phone: 479-318-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-25-429819
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: