Organization
IMPACT CHILD BEHAVIORAL SERVICES ATL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA M DACOSTA (CEO)
(206) 408-3046
Entity
Organization
Contact information
Practice address
3465 N DESERT DR, ATLANTA, GA 30344-5726
(206) 408-3046
Mailing address
3465 N DESERT DR, ATLANTA, GA 30344-5726
(206) 408-3046
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up