Active NPI 1407123532 Individual Practitioner Female Practitioner

Mary Gridley , MS BCBA

Behavior Analyst • Port Jefferson, NY

Professional Overview & Biography Verified Profile Summary

Mary Gridley, MS BCBA is a registered healthcare professional specializing in Behavior Analyst in Port Jefferson, NY. Practice services are available at 18 SHADY TREE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18 Shady Tree Ln

Port Jefferson, NY 117771924

Telephone 6319288988

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Port Jefferson, NY

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Port Jefferson, NY (5252 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NY 1-07-3586

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 17, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 17, 2011

Registered at 18 SHADY TREE LN, PORT JEFFERSON, NY 117771924 (Tel: 6319288988)

📍

Updated Business Mailing Address November 17, 2011

Registered at 18 SHADY TREE LN, PORT JEFFERSON, NY 117771924 (Tel: 6319288988)

👤

Provider Name / Credentials Updated November 17, 2011

Recorded as MARY GRIDLEY, MS BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2011

Behavior Analyst (License #1-07-3586 in NY)

🟢

Initial NPI Registration & Enumeration November 17, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407123532

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 17, 2011

Last Update: November 17, 2011

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

18 Shady Tree Ln

Port Jefferson, NY 117771924

Phone: 6319288988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.