| Impact Autism Services | |
|
316 Brook Park Pl Forest VA 24551-2766 | |
| (434) 477-4176 | |
| Not Available |
| Full Name | Impact Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 316 Brook Park Pl, Forest, Virginia |
| Authorized Official Name and Position | Adam Pavao (CO-OWNER) |
| Authorized Official Contact | 4344774176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Autism Services 316 Brook Park Pl Forest VA 24551-2766 Ph: (434) 477-4176 | Impact Autism Services 316 Brook Park Pl Forest VA 24551-2766 Ph: (434) 477-4176 |
| NPI Number | 1750950671 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750950671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |
| 106E00000X | Assistant Behavior Analyst | () | Secondary |
| 106S00000X | Behavior Technician | () | Secondary |
Advanced Psychotherapeutics Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1047 Vista Park Dr Ste A, Forest, VA 24551 Phone: 434-616-2388 |
Mindfit LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3696 Waterlick Rd, Forest, VA 24551 Phone: 434-665-2745 |
Light Counseling, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1075 Light Blvd, Forest, VA 24551 Phone: 434-384-1594 Fax: 434-384-3228 |
Louis Eliacin Consulting & Clinical Services, PLLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1074 Brownstone Ln, Forest, VA 24551 Phone: 434-709-9009 |
Alva Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Vista Centre Dr Ste 18, Forest, VA 24551 Phone: 434-207-2497 |
Cornerstone Counseling Consulting and Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15421 Forest Rd, Forest, VA 24551 Phone: 434-338-7129 |