Healthcare Provider Details

I. General information

NPI: 1023630340
Provider Name (Legal Business Name): STRIDE AUTISM CENTERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2020
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 FLEUR DR
DES MOINES IA
50321-1756
US

IV. Provider business mailing address

2680 FLEUR DR
DES MOINES IA
50321-1756
US

V. Phone/Fax

Practice location:
  • Phone: 515-207-5251
  • Fax: 877-372-2427
Mailing address:
  • Phone:
  • Fax: 877-372-2427

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: KRISTEN COOPER BORKENHAGEN
Title or Position: PRESIDENT
Credential: BCBA, LMFT
Phone: 408-460-6871