| Impact | |
|
134 Stockton St Apt 2b Brooklyn NY 11206-5688 | |
| (718) 963-0007 | |
| Not Available |
| Full Name | Impact |
|---|---|
| Speciality | Behavior Analyst |
| Location | 134 Stockton St Apt 2b, Brooklyn, New York |
| Authorized Official Name and Position | Judy Roth (CEO) |
| Authorized Official Contact | 7189630007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact 134 Stockton St Apt 2b Brooklyn NY 11206-5688 Ph: () - | Impact 134 Stockton St Apt 2b Brooklyn NY 11206-5688 Ph: (718) 963-0007 |
| NPI Number | 1205690203 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205690203 | NPI | - | NPPES |
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