Provider Demographics
NPI:1922546472
Name:BAIDA, ALIZA (MSED, BCBA, LBA)
Entity Type:Individual
Prefix:
First Name:ALIZA
Middle Name:
Last Name:BAIDA
Suffix:
Gender:F
Credentials:MSED, BCBA, LBA
Other - Prefix:
Other - First Name:ALIZA
Other - Middle Name:
Other - Last Name:SCHNALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED, BCBA, LBA
Mailing Address - Street 1:2 GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3881
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701
Practice Address - Country:US
Practice Address - Phone:845-362-1023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-04
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001551103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLBA893OtherLBA