Organization
IMPACT ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET L ROGERS MED, BCBA, LBA (PRESIDENT)
(703) 309-5295
Entity
Organization
Contact information
Practice address
605 SMARTTS LANE NE, LEESBURG, VA 20176
(703) 309-5295
(703) 935-9723
Mailing address
605 SMARTTS LANE NE, LEESBURG, VA 20176
(703) 309-5295
(703) 935-9723
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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