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

Impact Therapy, LLC

Organization Behavior Analyst · NPI 1639749674

Impact Therapy, LLC is a Behavior Analyst in Tallahassee, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1717 Hermitage Blvd
Tallahassee, FL 32308-7709
Phone: (850) 325-6301
Fax: (850) 325-6302
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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 number1639749674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Prejean — Clinic Director · (850) 325-6301
NPI enumeratedJuly 1, 2021
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address1717 Hermitage Blvd, Tallahassee, FL 32308-7709

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