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Organization
IMPACT LICENSED BEHAVIOR ANALYSIS PLLC
Active
Organization
IMPACT LICENSED BEHAVIOR ANALYSIS PLLC
Active
Other names
Impact
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY ROTH MSED, BCBA, LBA (CEO)
(718) 963-0007
Entity
Organization
Contact information
Practice address
134 STOCKTON ST APT 2B, BROOKLYN, NY 11206-5688
(718) 963-0007
Mailing address
134 STOCKTON ST APT 2B, BROOKLYN, NY 11206-5688
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/09/2024
Last updated
02/12/2024
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