Henriquez, Gary

Henriquez, Gary is an individual health care provider with primary practice located at 34 Larkin St , Revere MA 02151-5628. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Henriquez, Gary can be contacted via phone (617) 458-0773.

Contact Information

Primary practice address
34 Larkin St Revere MA 02151-5628
Phone: (617) 458-0773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1043925506
LBN Legal business name Henriquez, Gary
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2023
Last updated Jan 19th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers