Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Mary Gridley, MSBCBA

Individual provider Behavior Analyst · NPI 1407123532

Mrs. Mary Gridley, MSBCBA is a Behavior Analyst in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

18 Shady Tree Ln
Port Jefferson, NY 11777-1924
Phone: (631) 928-8988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-07-3586 (NY)

Record details

NPI number1407123532
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSBCBA
Sole proprietorYes
NPI enumeratedNovember 17, 2011
Last updated in NPPESNovember 17, 2011

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