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General NPI Number Information
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NPI Number | 1598690224
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Entity Type | Individual
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Provider Name | REGINA QUINTANILLA
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 740 N BROWN ST
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City | SAPULPA
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State | OK
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Zip | 74066-3231
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Country | US
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Telephone | 918-280-9072
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Fax | 539-399-7513
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Provider Business Mailing Address
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Address Line | PO BOX 691461
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City | TULSA
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State | OK
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Zip | 74169-1461
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Country | US
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Telephone | 918-280-9072
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Fax | 539-399-7513
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-26-545396
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License Number State | OK
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