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

Impacting Autism, LLC

Organization Behavior Analyst · NPI 1740522549

Impacting Autism, LLC is a Behavior Analyst in Inverness, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
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

1613 W Colonial Pkwy Ste 200
Inverness, IL 60067-4827
Phone: (847) 331-5370
Fax: (847) 202-1150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-09-6494 (IL)

Record details

NPI number1740522549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dianna Poulos — Board Certified Behavior Analyst · (847) 331-5370
NPI enumeratedMarch 20, 2013
Last updated in NPPESJuly 2, 2016
Mailing address1613 W Colonial Pkwy, Suite 200, Inverness, IL 60067-4827

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