Active NPI
Robert Mark Grant, MS, BCBA
- Behavior Analyst
- Worcester, MA
National Provider Identifier
1558615633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-11581
- Practice address
- 345A Greenwood St
Worcester, MA 01607-1753 - Phone
- (508) 363-0200
- NPI assigned
- Oct 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-11581 | MA | Primary |
Addresses
Primary practice location
345A Greenwood St
Worcester, MA 01607-1753
Mailing address
98 Old Farm Rd
Lunenburg, MA 01462-1051
Phone (978) 835-4776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1558615633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 OLD FARM RD",
"city": "LUNENBURG",
"state": "MA",
"postal_code": "014621051",
"telephone_number": "978-835-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345A GREENWOOD ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016071753",
"telephone_number": "508-363-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ROBERT",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-29",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-12-11581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.