Organization
IMPACT ABA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUERITE SIMPSON (ADMINISTRATIVE DIRECTOR)
(703) 870-9141
Entity
Organization
Contact information
Practice address
18 BREEZY LN, HARDEEVILLE, SC 29927-8501
(912) 677-4292
Mailing address
18 BREEZY LN, HARDEEVILLE, SC 29927-8501
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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