Individual
GENESIS BRISELDA ORELLANA MARTINEZ
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
Mailing address
101 NE 53RD ST APT 3101, OKLAHOMA CITY, OK 73105-1886
(405) 532-6275
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-480734
OK
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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