Your Life ABA VA, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

YOUR LIFE ABA VA, LLC

Practice address

350 5TH Ave Ste 6115
New York, NY 10118-6002

Phone

(718) 215-5311

NPI assigned

Oct 26, 2021

Organization subpart

Yes

Parent organization

PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLCAs reported in NPPES

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

Authorized official

Name

Mark A Yost Jr., ESQ

Title

General Counsel

Phone

(718) 215-5311

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Proud Moments Licensed Behavior Analysts PLLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Proud Moments Licensed Behavior Analysts PLLC

  • Behavior Analyst
  • New York, NY
  • NPI 1295148146
  NPPES parent name

Practitioners 346

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

• Alison Kathleen Brown, RBT

  • Behavior Technician
  • Dinwiddie, VA
  • NPI 1225738057
  NPD
• Jonathan Patrick Cook, BTL

  • Behavior Technician
  • Roanoke, VA
  • NPI 1437838935
  NPD
• Chance Nicole Dillon

  • Behavior Technician
  • Roanoke, VA
  • NPI 1255199477
  NPD
• Tyrone James Dudley, BCBA

  • Behavior Analyst
  • Roanoke, VA
  • NPI 1154809747
  NPD
• Daniela Gaona Garcia, BCABA

  • Assistant Behavior Analyst
  • Roanoke, VA
  • NPI 1790287670
  NPD
• Katelyn Gatzke, BCABA

  • Assistant Behavior Analyst
  • Roanoke, VA
  • NPI 1124678891
  NPD
• Claryssa Nichole Griffin, RBT

  • Behavior Technician
  • Roanoke, VA
  • NPI 1528844420
  NPD
• Jenna Lee Guzman, BCBA

  • Behavior Analyst
  • Roanoke, VA
  • NPI 1427547314
  NPD
• Jasmine Marie Hengeli

  • Behavior Technician
  • Roanoke, VA
  • NPI 1558120253
  NPD
• Stephanie Sarver Jones, BCBA, LBA

  • Behavior Analyst
  • Chase City, VA
  • NPI 1205343597
  NPD
• Melanie Marie Kells, BCBA, LBA

  • Behavior Analyst
  • Roanoke, VA
  • NPI 1275900383
  NPD
• Jaclyn Christine Kempf

  • Behavior Technician
  • Roanoke, VA
  • NPI 1942919436
  NPD

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1023772001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 5TH AVE STE 6115",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101186002",
            "telephone_number": "718-215-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 5TH AVE STE 6115",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101186002",
            "telephone_number": "718-215-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 Riverland Rd SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240143610",
            "country_code": "US",
            "telephone_number": "866-565-7222",
            "fax_number": "877-734-1914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46040 Center Oak Plz Ste 150",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201666611",
            "country_code": "US",
            "telephone_number": "703-997-9494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Alexander Bell Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201914385",
            "country_code": "US",
            "telephone_number": "571-495-1673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6325 N Center Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235020012",
            "country_code": "US",
            "telephone_number": "757-901-0646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "739 Thimble Shoals Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236063562",
            "country_code": "US",
            "telephone_number": "767-690-9390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13800 Coppermine Rd",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201716163",
            "country_code": "US",
            "telephone_number": "571-376-6299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 Independence Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233205208",
            "country_code": "US",
            "telephone_number": "757-776-0790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4141 N Henderson Rd Ste 7-8",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222032486",
            "country_code": "US",
            "telephone_number": "571-777-9210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2560 Huntington Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223031448",
            "country_code": "US",
            "telephone_number": "571-444-5047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14059 Crown Ct",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221931458",
            "country_code": "US",
            "telephone_number": "571-368-6876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUR LIFE ABA VA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC",
        "enumeration_date": "2021-10-26",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "718-215-5311",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023772001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in New York, NY
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.