Individual
JILLIAN MARMARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED, BCBA
Contact information
Practice address
42 ELMWOOD ST, OLD SAYBROOK, CT 06475-2135
(203) 788-8474
Mailing address
42 ELMWOOD ST, OLD SAYBROOK, CT 06475-2135
(203) 788-8474
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
920
CT
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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