Healthcare Provider Details

I. General information

NPI: 1457268286
Provider Name (Legal Business Name): HAPPY STRIDES ABA MO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S 4TH ST STE 550
SAINT LOUIS MO
63102-1897
US

IV. Provider business mailing address

13 DUNNIGAN DR
POMONA NY
10970-2656
US

V. Phone/Fax

Practice location:
  • Phone: 720-702-0272
  • Fax: 720-798-1080
Mailing address:
  • Phone: 720-702-0272
  • Fax: 720-798-1080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MENDY SLAMOVITS
Title or Position: COO
Credential:
Phone: 347-886-1189