NPIMap

Organization Active NPI

Proud Moments Licensed Behavior Analysts PLLC

  • Behavior Analyst
  • Rockville, MD
National Provider Identifier
1740109438
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC
Practice address
15245 Shady Grove Rd Ste 320
Rockville, MD 20850-6280
Phone
(718) 215-5311
NPI assigned
Jul 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Mark A Yost Jr.
Title
Chief Compliance Officer
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

15245 Shady Grove Rd Ste 320
Rockville, MD 20850-6280

Mailing address

PO Box 360595
Pittsburgh, PA 15251-6595
Phone (718) 215-5311

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

15245 Shady Grove Rd
Ste 320
Rockville, MD 20850
Phone (301) 882-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1740109438",
    "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",
            "telephone_number": "718-215-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 320",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506280",
            "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 Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.