DIEGO ANDRES HENRIQUEZ LOPEZ

LAKE WORTH, FL
NPI1669296182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: FL  RBT-24-374122)
Enumeration Date2024-11-12
Last Update Date2024-11-12
Business Address
DIEGO ANDRES HENRIQUEZ LOPEZ
3727 NYACK LN
LAKE WORTH, FL 33463-3497
Phone number: 561-889-9624
Mailing Address
DIEGO ANDRES HENRIQUEZ LOPEZ
3727 NYACK LN
LAKE WORTH, FL 33463-3497
Phone number: 561-889-9624