IMPACT A.B.A. THERAPY, INC. (NPI# 1235609546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235609546 |
| Entity Type | Organization |
| Organization Name | IMPACT A.B.A. THERAPY, INC. |
| Practice Address |
3661 Sunset Ave Ste 353 Rocky Mount NC 27804-3411 |
| Practice Telephone | 9197634653 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | TEPHANIE SHANELLE BARNES (OWNER) |
| Authorized Official Telephone | 9197634653 |
| Authorized Official Credential | M.S., BCBA ,LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3661 SUNSET AVE STE 353 |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265757785 | Shiloh Child and Adolescent Day Treatment Services, LLC | Behavioral Analyst | 312 S Franklin St, Rocky Mount, NC 27804-5711 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033021 | Modern Hope of North Carolina | Behavioral Analyst | 3570 Vest Mill Road, H, Winston Salem, NC 27103-2963 | 2020-11-06 |
| 1396346755 | Caroline Goerke | Behavioral Analyst | 2300 Gateway Centre Blvd Ste 101, Morrisville, NC 27560-9669 | 2020-11-03 |
| 1780284950 | Autry Behavioral & Resource Center | Behavioral Analyst | 330 Wedgefield Dr, Raeford, NC 28376-5010 | 2020-10-27 |
| 1689280828 | Cassie Robacker | Behavioral Analyst | 100 Kathleen Ct, King, NC 27021-8752 | 2020-09-22 |
| 1306452180 | Triskele Consulting, LLC | Behavioral Analyst | 177 W Chestnut St, Asheville, NC 28801-2107 | 2020-09-17 |
| 1245844349 | Stephanie Paguada | Behavioral Analyst | 1619 Candlewood Ridge Ln, Matthews, NC 28105-3211 | 2020-09-04 |
| 1619589322 | Ariel Duke | Behavioral Analyst | 618 Oak Brook Dr, Salisbury, NC 28146-6340 | 2020-08-24 |
| 1376155077 | Susan Kyger | Behavioral Analyst | 117 Prince Charles Ct, Kill Devil Hills, NC 27948-9186 | 2020-08-24 |
| 1447862230 | Katharine West-hazlewood | Behavioral Analyst | 317 S Boylan Ave # 2, Raleigh, NC 27603-1907 | 2020-08-21 |
| 1407468879 | Triangle Aba LLC | Behavioral Analyst | 10712 Marthas Way, Raleigh, NC 27615-1310 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.