Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY GRIDLEY, MS BCBA
Active Sole ProprietorMRS. MARY GRIDLEY, MS BCBA is a Behavior Analyst healthcare provider located in PORT JEFFERSON, New York. NPI 1407123532 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · PORT JEFFERSON, NY
Registration Details
- NPI Number
- 1407123532
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2011 (14.949846519159 yrs)
- Last Updated
- Nov 17, 2011
- License
-
1-07-3586 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18 SHADY TREE LNPORT JEFFERSON, NY, 117771924Browse NY providers · Browse ZIP 11777
- Phone
- 6319288988
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in PORT JEFFERSON, NY
| Name | Credential | NPI |
|---|---|---|
| DIANE ELIZABETH TAFURO | — | 1780199547 |
| MS. JESSICA PAIGE BOSWELL | — | 1902687999 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.