Individual
ALYSSA EMMA MAYMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
136 HARRISON AVE, BOSTON, MA 02111-1817
(617) 636-6934
Mailing address
136 HARRISON AVE, BOSTON, MA 02111-1817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
363AM0700X
Medical Physician Assistant
Primary
PA102531
MA
Other
Enumeration date
01/28/2021
Last updated
03/03/2026
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