Provider Demographics
NPI:1598536039
Name:MCGRENAGHAN, ERIN (MS ED, BCBA, LBS)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MCGRENAGHAN
Suffix:
Gender:F
Credentials:MS ED, BCBA, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 SUNNYBANK LN
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1548
Mailing Address - Country:US
Mailing Address - Phone:610-659-8230
Mailing Address - Fax:
Practice Address - Street 1:19 SUNNYBANK LN
Practice Address - Street 2:
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-1548
Practice Address - Country:US
Practice Address - Phone:610-659-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1-23-69774103K00000X
PABH006649103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst