IMPACT THERAPY, LLC
NPI 1639749674
Behavior Analyst in Tallahassee, FL

NPI Status: Active since July 01, 2021

Contact Information

1717 HERMITAGE BLVD
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 325-6301
Fax: (850) 325-6302

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  • Organization
  • Behavior Analyst
  • Accepts Insurance

About IMPACT THERAPY, LLC

This page provides the complete NPI Profile along with additional information for Impact Therapy, Llc, a provider established in Tallahassee, Florida operating as a Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1639749674 assigned on July 2021. The practitioner's primary taxonomy code is 103K00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kelly Quin Prejean Ma, Ccc-slp (Clinic Director)

NPI
1639749674
Provider Name
IMPACT THERAPY, LLC
Entity Type
Organization
Location Address
1717 HERMITAGE BLVD TALLAHASSEE, FL 32308
Location Phone
(850) 325-6301
Location Fax
(850) 325-6302
Mailing Address
1717 HERMITAGE BLVD TALLAHASSEE, FL 32308
Mailing Phone
(850) 325-6301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2021
Last Update Date
06-26-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Analyst

Taxonomy Code
103K00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Thrive Silver - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Standard Silver + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KELLY QUIN PREJEAN MA, CCC-SLP

Authorized Official Title
CLINIC DIRECTOR
Authorized Official Phone
(850) 325-6301

Reviews for IMPACT THERAPY, LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639749674, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 1 + 4 + 4 + 1 + 8 + 6 + 1 + 4 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1639749674.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Occupational Therapist
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Specialist/Technologist (Speech-Language Assistant)
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Behavior Technician
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Specialist
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Behavior Technician
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Specialist/Technologist (Speech-Language Assistant)
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Speech-Language Pathologist
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Specialist/Technologist (Speech-Language Assistant)
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639749674, enumerated as an "organization" on July 01, 2021.

The provider is located at 1717 HERMITAGE BLVD TALLAHASSEE, FL 32308 and the phone number is (850) 325-6301.

Behavior Analyst with taxonomy code 103K00000X.

The provider might be accepting Accepts: Ambetter Health and Ambetter of Alabama. Please consult your insurance carrier or call the provider to verify.