Individual
MELISSA MARIE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
162 WEST STREET, BUILDING 2, SUITE F, CROMWELL, CT 06416
(860) 613-9930
(860) 613-9952
Mailing address
162 WEST ST STE F, CROMWELL, CT 06416-4405
(860) 613-9930
(860) 613-9952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26471
CT
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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