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Organization Active NPI

Proud Moments Licensed Behavior Analysts PLLC

Doing business as Proud Moments ABA

  • Behavior Analyst
  • New York, NY
National Provider Identifier
1295148146
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC
Doing business as
Proud Moments ABA
Practice address
350 5TH Ave Ste 6115
New York, NY 10118-6002
Phone
(718) 215-5311
NPI assigned
Jun 9, 2014
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Mr. Mark A Yost Jr., ESQ.
Title
General Counsel
Phone
(718) 215-5311

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X
Community/Behavioral Health Agency 251S00000X

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

7103 Milford Industrial Rd
Pikesville, MD 21208-6061
Phone (718) 215-5311

Other practice location 2

15 E 40th St Rm 802
New York, NY 10016-0413
Phone (212) 235-5043

Other practice location 3

9900 N Davis Hwy
Pensacola, FL 32514-8124
Phone (850) 607-6910

Other names 1

  • Proud Moments ABA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Proud Moments Licensed Behavior Analysts PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7103 Milford Mill Rd
Pikesville, MD 21208
Phone (410) 205-2315

1115 Clifton Ave
Ste 202
Clifton, NJ 07013
Phone (973) 210-9040

1449 37th St
Ste 218
Brooklyn, NY 11218
Phone (718) 281-6769

15 E 40th St
Rm 802
New York, NY 10016
Phone (212) 235-5043

77 Water St
Ste 1602
New York, NY 10005
Phone (212) 235-5043

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1295148146",
    "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": "7103 Milford Industrial Rd",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212086061",
            "country_code": "US",
            "telephone_number": "718-215-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 E 40th St Rm 802",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160413",
            "country_code": "US",
            "telephone_number": "212-235-5043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325148124",
            "country_code": "US",
            "telephone_number": "850-607-6910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "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_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 3, 2026; 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.