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IMPACT LICENSED BEHAVIOR ANALYSIS PLLC

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Company Details

Name: IMPACT LICENSED BEHAVIOR ANALYSIS PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 07 Feb 2024 (a year ago)
Entity Number: 7250141
ZIP code: 11206
County: Kings
Place of Formation: New York
Address: 134 stockton st apt 2b, BROOKLYN, NY, United States, 11206

Contact Details

Phone +1 718-963-0007

DOS Process Agent

Name Role Address
the llc DOS Process Agent 134 stockton st apt 2b, BROOKLYN, NY, United States, 11206

National Provider Identifier

NPI Number:
1205690203
Certification Date:
2024-02-12

Authorized Person:

Name:
JUDY ROTH
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
106E00000X - Assistant Behavior Analyst
Is Primary:
No
Selected Taxonomy:
106S00000X - Behavior Technician
Is Primary:
No
Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240208002712 2024-02-07 ARTICLES OF ORGANIZATION 2024-02-07

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State