MEDICARE: ABELLA GRANT

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	106S00000X	Behavior Technician	RBT-26-544982	SC

General Provider Information

NPI Number	:	1720913742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABELLA GRANT

Provider Business Mailing Address
First Line	:	4975 HIGHWAY 701 N
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29526-5799
Country	:	US
Telephone Number	:	843-798-2991
Fax Number	:

Provider Business Practice Location Address
First Line	:	730 MAIN ST # 230
Second Line	:
City	:	NORTH MYRTLE BEACH
State	:	SC
Zip	:	29582-3030
Country	:	US
Telephone Number	:	813-763-5469
Fax Number	:

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

Provider Enumeration Date	:	06/13/2026
Last Update Date	:	06/13/2026

Similar Medicare Providers

1235200395 — MR. KEITH HARRISON WRIGHT RPH
Practice Location Address:

720 MAIN ST
NORTH MYRTLE BEACH, SC
29582-3030

Practice Phone: 843-249-4794
Practice Fax: 843-249-4794

1194092585 — DAVID WAYNE HATLEY
Practice Location Address:

720 MAIN ST
NORTH MYRTLE BEACH, SC
29582-3030

Practice Phone: 843-249-8553
Practice Fax: 843-249-4794

1730842584 — KELSEY TRESSLER
Practice Location Address:

730 MAIN ST # 230
NORTH MYRTLE BEACH, SC
29582-3030

Practice Phone: 813-763-5469
Practice Fax: 813-438-8903

1750174850 — DONALD THOMAS CONWAY
Practice Location Address:

730 MAIN ST # 230
NORTH MYRTLE BEACH, SC
29582-3030

Practice Phone: 813-763-5469
Practice Fax: 813-441-8362

1730073198 — MISS AJULU OLUKA
Practice Location Address:

730 MAIN ST # 230
NORTH MYRTLE BEACH, SC
29582-3030

Practice Phone: 813-763-5469
Practice Fax: 813-441-8362

1053206839 — MADELYN GRACE HUNT RBT
Practice Location Address:

730 MAIN ST
NORTH MYRTLE BEACH, SC
29582-3030

Practice Phone: 813-763-5469
Practice Fax: 813-441-8362

Directions to “ ABELLA GRANT ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.