MEDICARE: MEGHAN BARNES GRANGER BCBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-20-40695	SC

General Provider Information

NPI Number	:	1124652599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN BARNES GRANGER BCBA

Provider Business Mailing Address
First Line	:	1708C AUGUSTA ST # 216
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-2926
Country	:	US
Telephone Number	:	843-227-0861
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 SOUTH MAIN ST
Second Line	:	1ST FLOOR
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2605
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2020
Last Update Date	:	12/11/2025

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