Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Child Behavioral Services Atl Inc

Organization Behavior Analyst · NPI 1720906324

Impact Child Behavioral Services Atl Inc is a Behavior Analyst in Atlanta, Georgia. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3465 N Desert Dr
Atlanta, GA 30344-5726
Phone: (206) 408-3046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X

Record details

NPI number1720906324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanisha Dacosta — Ceo · (206) 408-3046
NPI enumeratedJuly 9, 2026
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address3465 N Desert Dr, Atlanta, GA 30344-5726

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