Provider Demographics
NPI:1952193641
Name:MCGRANE, MARY (BCBA)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:MCGRANE
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E 8TH AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1774
Mailing Address - Country:US
Mailing Address - Phone:267-226-6875
Mailing Address - Fax:
Practice Address - Street 1:101 E 8TH AVE STE 303
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1774
Practice Address - Country:US
Practice Address - Phone:267-226-6875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH006349103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst