Active NPI
Proud Moments ABA Services LLC
- Behavior Analyst
- New York, NY
National Provider Identifier
1962149260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- PROUD MOMENTS ABA SERVICES LLC
- Practice address
- 350 5TH Ave Ste 6115
New York, NY 10118-6002 - Phone
- (718) 215-5311
- NPI assigned
- May 18, 2022
- Last updated
- Feb 13, 2025
- 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 Yost Jr., ESQ
- 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
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739404800000",
"number": "1962149260",
"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": "NO",
"enumeration_date": "2022-05-18",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A",
"authorized_official_last_name": "YOST",
"authorized_official_first_name": "MARK",
"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": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Margot Protzel, MSW
- Proud Moments ABA of Florida PLLC (Proud Moments ABA)
- Proud Moments ABA of Georgia LLC (Proud Moments ABA)
- Proud Moments ABA of New Jersey LLC
- Proud Moments ABA Services LLC (Proud Moments ABA)
- Proud Moments Licensed Behavior Analysts PLLC (Proud Moments ABA)
- Alyssa Anne Proujansky, L.AC., MSTOM
- Rachel A Proujansky, PSY.D.
- Amy Marie Prouty, CRNA
- Proventus PC
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.