OrganizationActive
Impact Aba
NPI 1336816065 · Behavior Analyst · Leesburg, VA
Provider details
- NPI number
- 1336816065
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Janet Rogers, President(703) 309-5295
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
605 Smartts Lane Ne
Leesburg, VA 20176
Phone: (703) 309-5295
Fax: (703) 935-9723
Street-level locationGet directions
Mailing address
605 Smartts Lane Ne
Leesburg, VA 20176
Registry dates
- Enumerated
- 2021-08-30
- Last updated
- 2021-08-30
- Certified
- 2021-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.