Organization Active NPI

Proud Moments ABA of Tennessee PLLC

  • Behavior Analyst
  • Nashville, TN
National Provider Identifier
1235741356
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROUD MOMENTS ABA OF TENNESSEE PLLC
Practice address
916 Holgate CT
Nashville, TN 37221-6630
Phone
(718) 215-5311
NPI assigned
Aug 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Patty Buiocchi
Title
Coo
Phone
(718) 215-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

916 Holgate CT
Nashville, TN 37221-6630

Mailing address

1449 37TH St Ste 100
Brooklyn, NY 11218-4381
Phone (718) 215-5311

National Provider Directory

National Provider Directory

Locations

8930 Cross Park Dr
Ste 1
Knoxville, TN 37923
Phone (865) 407-2083

Practitioners & affiliated clinicians

Practitioners 1

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": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1235741356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 37TH ST STE 100",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184381",
            "telephone_number": "718-215-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 HOLGATE CT",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372216630",
            "telephone_number": "718-215-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUD MOMENTS ABA OF TENNESSEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "BUIOCCHI",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-215-5311"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.