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: |