NPIMap

Organization Active NPI

Proud Moments ABA Services LLC

Doing business as Proud Moments ABA

  • Behavior Analyst
  • New York, NY
National Provider Identifier
1336887579
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 SERVICES 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
May 26, 2022
Organization subpart
Yes
Parent organization
PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLCAs reported in NPPES

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 Anthony Yost Jr., ESQ
Title
General Counsel
Phone
(718) 215-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X MULTIPLE 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 names 1

  • Proud Moments ABA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Proud Moments ABA2 organizations share this tax ID, including this one
Part of
Proud Moments Licensed Behavior Analysts PLLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1336887579",
    "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": [],
    "basic": {
        "organization_name": "PROUD MOMENTS ABA SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC",
        "enumeration_date": "2022-05-26",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "YOST",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "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 MULTIPLE 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.