Most Relevant Information
Provider Data
| NPI Number: | 1003543661 |
| Provider Name: | MATTHEW JOSEPH GRANSON M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/04/2022 |
| Last Updated: | 08/04/2022 |
Provider Practice Location
360 N CASWELL RD
CHARLOTTE
NC
282042442
Practice Location Phone/Fax
| Phone: | 7047654749 |
| Fax: |
Provider Mailing Location
119 MEANDERING WAY LN
MOORESVILLE
NC
281179144
Provider Mailing Phone/Fax
| Phone: | 7045823476 |
| Fax: |