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Proud Moments Licensed Behavior Analysts PLLC

Organization Active NPI Behavior Analyst · Middle River, MD

NPI 1336068055 · NPPES record last updated Jul 15, 2026

Key facts

NPI
1336068055
Entity type
Organization (NPI type 2)
Primary specialty
Behavior Analyst 103K00000X
Legal business name
PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC
Practice address
405 Williams CT Ste 116-121
Middle River, MD 21220-2882
Phone
(718) 215-5311
NPI assigned
Jul 15, 2026
Organization subpart
No

Authorized official

Name
Mark A Yost Jr.
Title
Chief Compliance Officer
Phone
(718) 215-5311

Corporate family (same tax ID) 10

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

National Provider Directory

Tax ID family
Proud Moments Licensed Behavior Analysts PLLC (11 organizations share this tax ID)

Locations

405 Williams Ct
Ste 116121
Middle River, MD 21220
Phone (443) 586-8740

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst
Group: 193200000X MULTI-SPECIALTY GROUP		 103K00000X Yes
Behavior Technician
Group: 193200000X MULTI-SPECIALTY GROUP		 106S00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

405 Williams CT Ste 116-121
Middle River, MD 21220-2882

Mailing address

PO Box 360595
Pittsburgh, PA 15251-6595

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 15, 2026.

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1336068055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360595",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152516595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WILLIAMS CT STE 116-121",
            "city": "MIDDLE RIVER",
            "state": "MD",
            "postal_code": "212202882",
            "telephone_number": "718-215-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "718-215-5311",
        "authorized_official_name_suffix": "Jr."
    },
    "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": []
}

Other providers in Middle River, MD

All providers in Middle River, MD · Behavior Analyst in Maryland

Sources for this page

Verify at the official NPI Registry.