Provider Demographics
NPI:1689191868
Name:MAYER, JOCELYN D (MS BCBA LBA)
Entity Type:Individual
Prefix:
First Name:JOCELYN
Middle Name:D
Last Name:MAYER
Suffix:
Gender:F
Credentials:MS BCBA LBA
Other - Prefix:
Other - First Name:JOCELYN
Other - Middle Name:D
Other - Last Name:GABOURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS BCBA LBA
Mailing Address - Street 1:520 N 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4101
Mailing Address - Country:US
Mailing Address - Phone:715-845-4900
Mailing Address - Fax:
Practice Address - Street 1:520 N 28TH AVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4101
Practice Address - Country:US
Practice Address - Phone:715-845-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-28
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst