Active NPI
Proud Moments ABA
- Behavior Technician
- Bowie, MD
National Provider Identifier
1558294728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Legal business name
- PROUD MOMENTS ABA
- Practice address
- 4961 Tesla Dr Ste a-C
Bowie, MD 20715-4405 - Phone
- (301) 329-8155
- NPI assigned
- Jun 5, 2026
- Last updated
- Jun 5, 2026
- 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
- Mariela R Samuel
- Title
- Behavioral Tech
- Phone
- (240) 956-9658
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
4961 Tesla Dr Ste a-C
Bowie, MD 20715-4405
Mailing address
7724 Maple Ave Apt 14
Takoma Park, MD 20912-5652
Phone (240) 956-9658
National Provider Directory
National Provider Directory- Tax ID family
- Proud Moments ABA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Behavior Technician
- Bowie, MD
- NPI 1427981562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780617600000",
"number": "1558294728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7724 MAPLE AVE APT 14",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209125652",
"telephone_number": "240-956-9658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4961 TESLA DR STE A-C",
"city": "BOWIE",
"state": "MD",
"postal_code": "207154405",
"telephone_number": "301-329-8155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROUD MOMENTS ABA",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-05",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A",
"authorized_official_last_name": "SAMUEL",
"authorized_official_first_name": "MARIELA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "BEHAVIORAL TECH",
"authorized_official_telephone_number": "240-956-9658"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
- Progressive Phlebotomy Services, LLC
- Progressive Residential Nursing Care Services Inc
- Prolord Healthcare and Nursing Services
- Prospect Home Care Services. Inc.
- Proud Moments ABA
- Proud Moments Licensed Behavior Analysts PLLC
- Randy W Prout
- Providence Anesthesia Associates, P.a.
- Providence Health Group LLC
- Providence Pain Management Center, P.a. (Innovative Laboratories)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.