Individual
GISLEINY MARIE MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(703) 237-2219
Mailing address
56 HALLOCK ST, NEW HAVEN, CT 06519-1570
(475) 341-6095
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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