Healthcare Provider Details

I. General information

NPI: 1124652599
Provider Name (Legal Business Name): MEGHAN BARNES GRANGER BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2020
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 SOUTH MAIN ST 1ST FLOOR
GREENVILLE SC
29601-2605
US

IV. Provider business mailing address

1708C AUGUSTA ST # 216
GREENVILLE SC
29605-2926
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 843-227-0861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-20-40695
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: