Amy Impson, M.S., BCBA

Individual provider Active NPI Behavior Analyst · Greenwell Springs, LA

NPI 1780992255 · NPPES record last updated Sep 18, 2010

Key facts

NPI
1780992255
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-10-7199
Practice address
5175 Universal Ave
Greenwell Springs, LA 70739-3443
Phone
(225) 603-9921
NPI assigned
Sep 18, 2010
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
The Behavior Inspection Agency, LLC Behavior Analyst Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-10-7199 Yes

Addresses

Primary practice location

5175 Universal Ave
Greenwell Springs, LA 70739-3443

Mailing address

5175 Universal Ave
Greenwell Springs, LA 70739-3443
Phone (225) 603-9921

Other providers in Greenwell Springs, LA

All providers in Greenwell Springs, LA · Behavior Analyst in Louisiana

Sources for this page

Verify at the official NPI Registry.