Gridley, Mary

Gridley, Mary is an sole proprietor health care provider with primary practice located at 18 Shady Tree Ln , Port Jefferson NY 11777-1924. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gridley, Mary can be contacted via phone (631) 928-8988.

Contact Information

Primary practice address
18 Shady Tree Ln Port Jefferson NY 11777-1924
Phone: (631) 928-8988
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-07-3586 New York

Profile Details

NPI number 1407123532
LBN Legal business name Gridley, Mary
Credentials MS BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2011
Last updated Nov 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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