Individual
GINA HENRIQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1534 CARSWELL ST, BALTIMORE, MD 21218-4903
(718) 600-1732
Mailing address
1534 CARSWELL ST, BALTIMORE, MD 21218-4903
(718) 600-1732
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA2014
MD
Other
Enumeration date
01/10/2022
Last updated
11/15/2024
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