Impact ABA Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

IMPACT ABA SERVICES LLC

Practice address

27 Beaver Brook LN
Denville, NJ 07834-1304

Phone

(973) 906-0965

NPI assigned

Aug 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Allison Erwine, BCBANPI 1881009652

Title

Co-Owner

Phone

(973) 906-0965

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Erwine, BCBA

  • Behavior Analyst
  • Denville, NJ
  • NPI 1881009652
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295251452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BEAVER BROOK LN",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341304",
            "telephone_number": "973-906-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BEAVER BROOK LN",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078341304",
            "telephone_number": "973-906-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ERWINE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "973-906-0965",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Denville, NJ
• Providers in Denville, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.