Provider Demographics
NPI:1235802562
Name:HIGH STRIDE ABA LLC
Entity Type:Organization
Organization Name:HIGH STRIDE ABA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MALKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRESS
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:848-525-0795
Mailing Address - Street 1:475 OBERLIN AVE S STE 211
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-7024
Mailing Address - Country:US
Mailing Address - Phone:848-525-0795
Mailing Address - Fax:
Practice Address - Street 1:8888 KEYSTONE XING STE 1300
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-4600
Practice Address - Country:US
Practice Address - Phone:848-525-0038
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty