Active NPI
Proud Moments ABA of New Jersey LLC
- Behavior Analyst
- New York, NY
National Provider Identifier
1770190621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- PROUD MOMENTS ABA OF NEW JERSEY LLC
- Practice address
- 350 5TH Ave Ste 6115
New York, NY 10118-6002 - Phone
- (718) 215-5311
- NPI assigned
- Sep 24, 2020
- 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
- Mr. Mark A Yost Jr.
- Title
- General Counsel
- Phone
- (718) 215-5311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 practice location 1
1115 Clifton Ave Ste 202
Clifton, NJ 07013-3650
Phone (718) 215-5311
Other practice location 2
201 Main St
Toms River, NJ 08753-7416
Phone (718) 215-5311
Other practice location 3
118 Talmadge Rd
Edison, NJ 08817-2812
Phone (718) 215-5311
National Provider Directory
National Provider DirectoryLocations
118 Talmadge Rd
Edison, NJ 08817
Phone (908) 368-0028
201 Main St
Toms River, NJ 08753
Phone (732) 523-1245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1770190621",
"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": "1115 Clifton Ave Ste 202",
"address_purpose": "LOCATION",
"city": "Clifton",
"state": "NJ",
"postal_code": "070133650",
"country_code": "US",
"telephone_number": "718-215-5311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Main St",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "087537416",
"country_code": "US",
"telephone_number": "718-215-5311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "118 Talmadge Rd",
"address_purpose": "LOCATION",
"city": "Edison",
"state": "NJ",
"postal_code": "088172812",
"country_code": "US",
"telephone_number": "718-215-5311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROUD MOMENTS ABA OF NEW JERSEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-24",
"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": "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."
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Gary Michael Prottas, L.P.
- Barry S Protter, PH.D.
- Margot Protzel, MSW
- Proud Moments ABA of Florida PLLC
- Proud Moments ABA of Georgia LLC
- Proud Moments ABA Services LLC
- Proud Moments ABA Services LLC
- Proud Moments Licensed Behavior Analysts PLLC
- Alyssa Anne Proujansky, L.AC., MSTOM
- Rachel A Proujansky, PSY.D.
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.