1. Home
  2. Directory
  3. Florida
  4. Tallahassee
  5. Behavior Analyst
  6. NPI Profile

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

Active since July 01, 2021
1717 HERMITAGE BLVD, TALLAHASSEE, FL 32308(850) 325-6301(850) 325-6302 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2024, Jul 9, 2023, Apr 14, 2022 and 1 more (4 updates tracked since 2021).

About Impact Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT THERAPY, LLC (NPI 1639749674) is a healthcare organization registered as a behavior analyst in Tallahassee, Florida and active in the NPI registry since July 2021. The organization lists Kelly Quin Prejean, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1639749674
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameIMPACT THERAPY, LLC
Location Address1717 HERMITAGE BLVDTallahassee, FL 32308-7709
Mailing Address1717 Hermitage BlvdTallahassee, FL 32308-7709 · (850) 325-6301
Phone(850) 325-6301
Fax(850) 325-6302
Organization SubpartNo
Authorized OfficialKelly Quin PrejeanClinic Director · (850) 325-6301
Enumeration DateJuly 1, 2021
Last NPPES UpdateJune 26, 20244 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1639749674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
1717 HERMITAGE BLVD, Tallahassee, FL 32308
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JANIAH MURRAY
Behavior Technician
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-6301
ANTHONY DEBOSE
Occupational Therapist
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-6301
ALEXANDRA WALLACE
Specialist/Technologist (Speech-Language Assistant)
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-6301
MORGAN MARIN EDWARDS
Specialist/Technologist (Speech-Language Assistant)
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-6301
IMPACT THERAPY, LLC
Specialist
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-6301
MAKAELA RINEHART
Speech-Language Pathologist
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-6301
CARLEE DORAN
Behavior Technician
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-6301
HAYLEE WOODS
Specialist/Technologist (Speech-Language Assistant)
1717 HERMITAGE BLVD
TALLAHASSEE, FL 32308
Leon County (850) 325-6301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Therapy, LLC's NPI number?

The NPI number for Impact Therapy, LLC is 1639749674. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Impact Therapy, LLC located?

Impact Therapy, LLC is located at 1717 Hermitage Blvd, Tallahassee, FL 32308. The listed phone number is (850) 325-6301.

What is Impact Therapy, LLC's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Impact Therapy, LLC accept?

Health plans from Ambetter Health and Ambetter of Alabama list Impact Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Impact Therapy, LLC was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.