Individual
REGINA QUINTANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 N BROWN ST, SAPULPA, OK 74066-3231
(918) 280-9072
(539) 399-7513
Mailing address
PO BOX 691461, TULSA, OK 74169-1461
(918) 280-9072
(539) 399-7513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-545396
OK
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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