Individual
MARY KATHLEEN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 WOODLAND AVE, MORRISTOWN, NJ 07960-6075
(407) 913-2022
Mailing address
24 WOODLAND AVE, MORRISTOWN, NJ 07960-6075
(407) 913-2022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56387
NJ
103K00000X
Behavior Analyst
Primary
15BC00318400
NJ
Other
Enumeration date
01/17/2023
Last updated
05/19/2026
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