Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grace Kelly Matt

Individual provider Technician/Technologist · NPI 1457077240

Grace Kelly Matt is a Technician/Technologist in Grosse Pointe Woods, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

19251 Mack Ave Ste M450
Grosse Pointe Woods, MI 48236-2893
Phone: (313) 343-1370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X
Technician/Technologist Taxonomy 156F00000X

Record details

NPI number1457077240
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2022
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023
Mailing address100 N Pacific Coast Hwy Fl 14, El Segundo, CA 90245-4359

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