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

Impact Child Behavioral Services, Inc

Organization Behavior Analyst · NPI 1235940321

Impact Child Behavioral Services, Inc is a Behavior Analyst in Huntersville, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
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

16325 Northcross Dr Ste A
Huntersville, NC 28078-5044
Phone: (704) 773-8115
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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 number1235940321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanisha Dacosta — Ceo · (704) 773-8115
Other names Kingdom Kids Impact Child Behavioral Services; Kingdom Kids Impact Child Behavioral Services
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address16325 Northcross Dr Ste A, Huntersville, NC 28078-5044

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