Provider Demographics
NPI:1982596516
Name:STRIDE LICENSED BEHAVIOR ANALYSIS SERVICES, PLLC
Entity type:Organization
Organization Name:STRIDE LICENSED BEHAVIOR ANALYSIS SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:ARETHA
Authorized Official - Last Name:BRACE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:917-371-8357
Mailing Address - Street 1:141 PARKWAY RD STE 2D
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-3629
Mailing Address - Country:US
Mailing Address - Phone:917-371-8357
Mailing Address - Fax:
Practice Address - Street 1:141 PARKWAY RD STE 2D
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-3629
Practice Address - Country:US
Practice Address - Phone:917-371-8357
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty