Organization Active NPI

Proud Moments ABA of Georgia LLC

Doing business as Proud Moments ABA

  • Behavior Analyst
  • New York, NY
National Provider Identifier
1255085551
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Feb 13, 2025

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)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.