Provider Demographics
NPI:1255004354
Name:STEADY STRIDES ABA TX PLLC
Entity Type:Organization
Organization Name:STEADY STRIDES ABA TX PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BLUMENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-597-8799
Mailing Address - Street 1:786 MARLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5423
Mailing Address - Country:US
Mailing Address - Phone:773-597-8799
Mailing Address - Fax:
Practice Address - Street 1:7723 MOONDANCE LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2623
Practice Address - Country:US
Practice Address - Phone:773-597-8799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty