NPIMap

Organization Active NPI

Strides Therapeutic Services

  • Behavior Analyst
  • Vancouver, WA
National Provider Identifier
1992444335
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
STRIDES THERAPEUTIC SERVICES
Practice address
5700 NE 82ND Ave Unit G38
Vancouver, WA 98662-9431
Phone
(435) 668-8590
NPI assigned
Jun 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elsie Herring, BCBA LBANPI 1497281018
Title
Owner/ Clinical Supervisor
Phone
(435) 668-8590

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

5700 NE 82ND Ave Unit G38
Vancouver, WA 98662-9431

Mailing address

5700 NE 82ND Ave Unit G38
Vancouver, WA 98662-9431
Phone (435) 668-8590

Other identifiers 3

IdentifierTypeStateIssuer
1639659220MedicaidWA
1497281018MedicaidWA
1689098584MedicaidWA

National Provider Directory

National Provider Directory

Locations

204 SE Stonemill Dr
Ste 270
Vancouver, WA 98684
Phone (360) 571-2432

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1992444335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 NE 82ND AVE UNIT G38",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986629431",
            "telephone_number": "435-668-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 NE 82ND AVE UNIT G38",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986629431",
            "telephone_number": "435-668-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRIDES THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "435-668-8590",
        "authorized_official_credential": "BCBA LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639659220",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497281018",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689098584",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.