Individual
JULISSA INEZ MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 SALEM TPKE STE 200, NORWICH, CT 06360-6484
(888) 754-0398
Mailing address
575 BOSWELL AVE APT 4, NORWICH, CT 06360-3119
(860) 865-4863
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CT
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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