Active NPI
Proud Moments ABA of Georgia LLC
Doing business as Proud Moments ABA
- Behavior Analyst
- New York, NY
National Provider Identifier
1255085551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- PROUD MOMENTS ABA OF GEORGIA LLC
- Doing business as
- Proud Moments ABA
- Practice address
- 350 5TH Ave Ste 6115
New York, NY 10118-6002 - Phone
- (718) 215-5311
- NPI assigned
- Feb 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Yost Jr., ESQ.
- Title
- General Counsel
- Phone
- (718) 215-5311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
350 5TH Ave Ste 6115
New York, NY 10118-6002
Mailing address
350 5TH Ave Ste 6115
New York, NY 10118-6002
Phone (718) 215-5311
Other practice location 1
1700 Commerce Dr NW Ste 100
Atlanta, GA 30318-3124
Phone (718) 215-5311
Other practice location 2
5900 Warm Springs Rd Ste J
Columbus, GA 31909-4597
Phone (718) 215-5311
Other practice location 3
1870 Midtown Dr Ste 100
Columbus, GA 31906-2304
Phone (718) 215-5311
Other names 1
- Proud Moments ABA
National Provider Directory
National Provider DirectoryLocations
1700 Commerce Dr NW
Ste 100
Atlanta, GA 30318
1870 Midtown Dr
Ste 100
Columbus, GA 31906
5900 Warm Springs Rd
Ste J
Columbus, GA 31909
Phone (706) 786-1110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1255085551",
"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": "1700 Commerce Dr NW Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303183124",
"country_code": "US",
"telephone_number": "718-215-5311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5900 Warm Springs Rd Ste J",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319094597",
"country_code": "US",
"telephone_number": "718-215-5311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1870 Midtown Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319062304",
"country_code": "US",
"telephone_number": "718-215-5311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROUD MOMENTS ABA OF GEORGIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-07",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "YOST",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "GENERAL COUNSEL",
"authorized_official_telephone_number": "718-215-5311",
"authorized_official_name_prefix": "Mr.",
"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": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Proud Moments ABA",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Proud Moments ABA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
- Themistocles Protopsaltis, M.D.
- Gary Michael Prottas, L.P.
- Barry S Protter, PH.D.
- Margot Protzel, MSW
- Proud Moments ABA of Florida PLLC (Proud Moments ABA)
- Proud Moments ABA of New Jersey LLC
- Proud Moments ABA Services LLC (Proud Moments ABA)
- Proud Moments ABA Services LLC
- Proud Moments Licensed Behavior Analysts PLLC (Proud Moments ABA)
- Alyssa Anne Proujansky, L.AC., MSTOM
Sources for this page
- 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.