Individual
GLORIA GRANILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13913 S WESTERN AVE, OKLAHOMA CITY, OK 73170-7011
(405) 445-5567
(405) 761-4748
Mailing address
1129 SE 22ND ST, OKLAHOMA CITY, OK 73129-6310
(405) 931-1652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-548143
OK
Other
Enumeration date
06/26/2026
Last updated
06/26/2026
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