Gary Henriquez
NPI #1043925506 in Revere, Massachusetts
Provider Information
- NPI Number
- 1043925506
- Entity Type
- Individual
- Name
- Gary Henriquez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 19, 2023
- Last Updated
- Jan 19, 2023
Practice Location
- Address
- 34 LARKIN ST
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-5628
- Phone
- (617) 458-0773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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