Individual
ABELLA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 MAIN ST # 230, NORTH MYRTLE BEACH, SC 29582-3030
(813) 763-5469
Mailing address
4975 HIGHWAY 701 N, CONWAY, SC 29526-5799
(843) 798-2991
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-544982
SC
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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