IMPACTING AUTISM, LLC – Behavior Analyst, NPI 1740522549

IMPACTING AUTISM, LLC is a healthcare provider. based in Inverness, Illinois. specializing in Behavior Analyst. The organization holds a License No. 1-09-6494 (IL). The NPI Number for IMPACTING AUTISM, LLC is 1740522549

Main info

Organization
Name
IMPACTING AUTISM, LLC
NPI
1740522549
Phone
(847) 331-5370
Address
1613 W COLONIAL PKWY
Authorized Official
DIANNA POULOS BOARD CERTIFIED BEHAVIOR ANALYST M.A.,BCBA
Enumeration Date
20 March 2013
Last Update Date
2 July 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for IMPACTING AUTISM, LLC

  • 1613 W COLONIAL PKWY

    SUITE 200

    INVERNESS, IL 600674827

    Phone: (847) 331-5370

    Fax: (847) 202-1150

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60067)

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Reviews

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Frequently asked questions

What federal number belongs to IMPACTING AUTISM, LLC?
The federal identifier for IMPACTING AUTISM, LLC is NPI 1740522549.
Is IMPACTING AUTISM, LLC active in the national directory?
IMPACTING AUTISM, LLC's public NPI profile is in an active state.
What kind of provider is IMPACTING AUTISM, LLC?
The page reflects Behavior Analyst for IMPACTING AUTISM, LLC. Clinical services aligned with this taxonomy classification.
What location metadata exists for IMPACTING AUTISM, LLC?
The page summarizes Inverness, Illinois for IMPACTING AUTISM, LLC; expand the address list for detail.
Is IMPACTING AUTISM, LLC a real provider?
This page reflects official NPPES data for NPI 1740522549. Always confirm identity and privileges with the practice and licensing boards.

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