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Active NPI 1073129839 Organization (Entity Type 2)

I'mpossible Behavior Services

Behavior Analyst • Cocoa, FL

About I'mpossible Behavior Services NPI 1073129839 Summary

I'Mpossible Behavior Services is a verified healthcare organization specializing in Behavior Analyst operating in Cocoa, FL. Located at 5500 N HIGHWAY 1, this facility provides patient care and medical services under National Provider Identifier (NPI) 1073129839.

Administrative operations and authorized compliance are overseen by Melody Autry (Owner).

The facility is associated with 1 linked healthcare practitioner providing clinical services.

Facility Location & Contact Primary Location

Facility Address

5500 N Highway 1

Cocoa, FL 329276006

Telephone 3215067999

Authorized Official Information

Authorized Contact Name

Melody Autry , BCBA

Title / Role

Owner

Official Telephone

3215067999

Facility Classifications & Specialties

Behavior Analyst Primary Taxonomy

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

1 Linked

Alyssa Crist , RBT NPI 1356166193

Behavior Technician

Cocoa, FL

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active September 17, 2020

NPI status registered as active in NPPES database

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Updated Practice Location September 17, 2020

Registered at 5500 N HIGHWAY 1, COCOA, FL 329276006 (Tel: 3215067999)

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Updated Business Mailing Address September 17, 2020

Registered at 3709 WARWICK DR, COCOA, FL 329268739 (Tel: 3215067999)

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Organization / Clinic Name Updated September 17, 2020

Operating as I'MPOSSIBLE BEHAVIOR SERVICES

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2020

Behavior Analyst

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Initial NPI Registration & Enumeration September 17, 2020

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1073129839

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: September 17, 2020

Last Update: September 17, 2020

Update or Correct Listing

Mailing Address

3709 Warwick Dr

Cocoa, FL 329268739

Phone: 3215067999

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.