Impact Licensed Behavior Analysis Pllc

NPI #1205690203 in Brooklyn, New York

Provider Information

NPI Number: 1205690203
Entity Type: Organization
Organization Name: Impact Licensed Behavior Analysis Pllc
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 9, 2024
Last Updated: Feb 12, 2024

Practice Location

Address: 134 STOCKTON ST APT 2B
City: Brooklyn
State: New York
ZIP Code: 11206-5688
Phone: (718) 963-0007

Authorized Official

Name: JUDY ROTH, MSED, BCBA, LBA
Title: CEO
Phone: (718) 963-0007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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