Individual
ALEXANDER ENRRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27604 CASHFORD CIR, WESLEY CHAPEL, FL 33544-6952
(813) 345-8584
Mailing address
2021 BLUE ROCK DR APT 304, TAMPA, FL 33612-5173
(786) 398-0671
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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