| Impact Aba Services, Llc | |
|
5375 Reno Corporate Dr Reno NV 89511 | |
| (775) 376-9426 | |
| (775) 376-5888 |
| Full Name | Impact Aba Services, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5375 Reno Corporate Dr, Reno, Nevada |
| Authorized Official Name and Position | Megan M Mcgrew (CEO/BCBA) |
| Authorized Official Contact | 7753769426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Aba Services, Llc 2395 Lincoln Meadows Dr Reno NV 89521-5252 Ph: (775) 376-9426 | Impact Aba Services, Llc 5375 Reno Corporate Dr Reno NV 89511 Ph: (775) 376-9426 |
| NPI Number | 1164949590 |
|---|---|
| Provider Enumeration Date | 08/25/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 06/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164949590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | LBA00109 (Nevada) | Primary |
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