Individual
GABRIELLE ANGENENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
13913 S WESTERN AVE, OKLAHOMA CITY, OK 73170-7011
(405) 445-5567
Mailing address
2201 NW 122ND ST APT 2707, OKLAHOMA CITY, OK 73120-8417
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-413832
OK
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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