Impact Child Behavioral Services Atl Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

IMPACT CHILD BEHAVIORAL SERVICES ATL INC

Practice address

3465 N Desert Dr
Atlanta, GA 30344-5726

Phone

(206) 408-3046

NPI assigned

Jul 9, 2026

Organization subpart

No

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

Authorized official

Name

Tanisha M Dacosta

Title

Ceo

Phone

(206) 408-3046

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1720906324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 N DESERT DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445726",
            "telephone_number": "206-408-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 N DESERT DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303445726",
            "telephone_number": "206-408-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CHILD BEHAVIORAL SERVICES ATL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "DACOSTA",
        "authorized_official_first_name": "TANISHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-408-3046"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.