Individual
GAIL JUNE TITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
336 HALLS HILL RD, COLCHESTER, CT 06415-1452
(860) 603-2243
Mailing address
PO BOX 26, MYSTIC, CT 06355-0026
(860) 980-3233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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