MRS. MARY GRIDLEY, MS BCBA

Behavior Analyst

Active Individual
NPI: 1407123532

Practice Address

18 SHADY TREE LN
Port Jefferson, NY 11777

Phone: (631) 928-8988

Specialties

Specialty Code Primary License
Behavior Analyst 103K00000X Yes 1-07-3586 (NY)

Frequently Asked Questions

NPI 1407123532 is the National Provider Identifier for MRS. MARY GRIDLEY, MS BCBA, a Behavior Analyst provider located in Port Jefferson, NY. This NPI was enumerated on November 17, 2011.
MRS. MARY GRIDLEY, MS BCBA practices at 18 SHADY TREE LN, Port Jefferson, NY 11777.

Quick Facts

NPI
1407123532
Type
Individual
Enumerated
Nov 17, 2011
Last Updated
Nov 17, 2011

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