Organization
IMPACT 360
Active
Other names
IMPACT 360 ABA Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI ZANDRANETTE DAVIS (PROGRAM MANAGER)
(281) 241-9183
Entity
Organization
Contact information
Practice address
5631 RANSOM ST, HOUSTON, TX 77087-4101
(281) 241-9183
Mailing address
5631 RANSOM ST, HOUSTON, TX 77087-4101
(281) 241-9183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/17/2021
Last updated
07/27/2026
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