Impact Autism Services

NPI #1750950671 in Forest, Virginia

Provider Information

NPI Number: 1750950671
Entity Type: Organization
Organization Name: Impact Autism Services
Primary Specialty: Behavior Analyst
Enumeration Date: Jun 24, 2021
Last Updated: Dec 9, 2024

Practice Location

Address: 316 BROOK PARK PL
City: Forest
State: Virginia
ZIP Code: 24551-2766
Phone: (434) 477-4176

Authorized Official

Name: ADAM PAVAO, LPC
Title: CO-OWNER
Phone: (434) 477-4176

Specialties & Taxonomy Codes

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

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