Individual
MARY REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LBS, BCBA
Contact information
Practice address
2098 W CHESTER PIKE STE 101, BROOMALL, PA 19008-3329
(484) 880-0597
Mailing address
2098 W CHESTER PIKE STE 101, BROOMALL, PA 19008-3329
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62978
PA
Other
Enumeration date
10/17/2023
Last updated
12/09/2025
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