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

Impact Licensed Behavior Analysis PLLC

Organization Behavior Analyst · NPI 1205690203

Impact Licensed Behavior Analysis PLLC is a Behavior Analyst in Brooklyn, New York. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

134 Stockton St Apt 2B
Brooklyn, NY 11206-5688
Phone: (718) 963-0007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Assistant Behavior Analyst Taxonomy 106E00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1205690203
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judy Roth — Ceo · (718) 963-0007
Other names Impact; Impact
NPI enumeratedFebruary 9, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address134 Stockton St Apt 2b, Brooklyn, NY 11206-5688

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