NPIMap

Organization Active NPI

Proud Moments ABA of Nevada LLC

  • Behavior Analyst
  • Henderson, NV
National Provider Identifier
1043780695
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROUD MOMENTS ABA OF NEVADA LLC
Practice address
9089 S Pecos Rd Ste 3600
Henderson, NV 89074-7186
Phone
(702) 680-1523
NPI assigned
Nov 27, 2018
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Mark A Yost
Title
General Counsel
Phone
(718) 215-5311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

9089 S Pecos Rd Ste 3600
Henderson, NV 89074-7186

Mailing address

350 5TH Ave Ste 6115
New York, NY 10118-6002
Phone (718) 215-5311

Other practice location 1

8020 W Sahara Ave Ste 125
Las Vegas, NV 89117-7917
Phone (702) 766-9840

Other practice location 2

1707 Village Center Cir Ste 140
Las Vegas, NV 89134-0577
Phone (702) 766-9840

Other practice location 3

6325 S Jones Blvd Ste 400
Las Vegas, NV 89118-3332
Phone (702) 618-9120

Other practice location 4

7365 Prairie Falcon Rd Ste 150
Las Vegas, NV 89128-0808
Phone (702) 766-9840

Other identifiers 1

IdentifierTypeStateIssuer
1-13-13480OtherBACB

National Provider Directory

National Provider Directory

Locations

1707 Village Center Cir
Ste 140
Las Vegas, NV 89134
Phone (702) 349-6147

6325 S Jones Blvd
Ste 400
Las Vegas, NV 89118
Phone (702) 618-9120

8020 W Sahara Ave
Ste 125
Las Vegas, NV 89117
Phone (702) 470-0620

Practitioners & affiliated clinicians

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1043780695",
    "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": "9089 S PECOS RD STE 3600",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747186",
            "telephone_number": "702-680-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8020 W Sahara Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891177917",
            "country_code": "US",
            "telephone_number": "702-766-9840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1707 Village Center Cir Ste 140",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891340577",
            "country_code": "US",
            "telephone_number": "702-766-9840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6325 S Jones Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891183332",
            "country_code": "US",
            "telephone_number": "702-618-9120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7365 Prairie Falcon Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280808",
            "country_code": "US",
            "telephone_number": "702-766-9840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROUD MOMENTS ABA OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "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"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "1-13-13480",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.