| Impact Learning & Development | |
|
2475 W Chicago St Rapid City SD 57702-2467 | |
| (605) 206-5004 | |
| (605) 646-4840 |
| Full Name | Impact Learning & Development |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2475 W Chicago St, Rapid City, South Dakota |
| Authorized Official Name and Position | Nancy L Pruitt (OWNER) |
| Authorized Official Contact | 6052065004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Learning & Development 2475 W Chicago St Rapid City SD 57702-2467 Ph: (605) 206-5004 | Impact Learning & Development 2475 W Chicago St Rapid City SD 57702-2467 Ph: (605) 206-5004 |
| NPI Number | 1619442522 |
|---|---|
| Provider Enumeration Date | 10/06/2018 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619442522 | NPI | - | NPPES |
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