Proud Moments ABA of Florida PLLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PROUD MOMENTS ABA OF FLORIDA PLLC

Doing business as

Proud Moments ABA

Practice address

350 5TH Ave Ste 6115
New York, NY 10118-6002

Phone

(718) 215-5311

NPI assigned

Feb 8, 2022

Last updated

Feb 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark A Yost Jr., ESQ.

Title

General Counsel

Phone

(718) 215-5311

Specialties & licenses 1

Addresses

Other names 1

• Proud Moments ABA Doing business as

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Ballow

  • Behavior Technician
  • Fort Walton Beach, FL
  • NPI 1518794734
  NPD (past)
• Elizabeth Rileigh Black

  • Behavior Technician
  • Fort Walton Beach, FL
  • NPI 1003507799
  NPD (past)
• Alisia Michelle Bolin

  • Behavior Technician
  • Crestview, FL
  • NPI 1609373307
  NPD (past)
• Darresha Booker

  • Behavior Technician
  • Pensacola, FL
  • NPI 1538857917
  NPD (past)
• Kristopher Butler

  • Behavior Technician
  • Milton, FL
  • NPI 1194546895
  NPD (past)
• Megan Lynn Castor

  • Behavior Technician
  • Pensacola, FL
  • NPI 1821769217
  NPD (past)
• Julie Debarba

  • Behavior Technician
  • Pensacola, FL
  • NPI 1740096171
  NPD (past)
• Dominique Deleon

  • Behavior Technician
  • Crestview, FL
  • NPI 1336884139
  NPD (past)
• Savannah Denherder

  • Behavior Technician
  • Pensacola, FL
  • NPI 1598327843
  NPD (past)
• Elizabeth Kay Dickson

  • Behavior Analyst
  • Ankeny, IA
  • NPI 1831712579
  NPD (past)
• Destiny Brianne Dorsey

  • Behavior Technician
  • Pensacola, FL
  • NPI 1740974906
  NPD (past)
• Heather Garcia

  • Behavior Technician
  • Pensacola, FL
  • NPI 1508680570
  NPD (past)

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1962156083",
    "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": "9900 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325148124",
            "country_code": "US",
            "telephone_number": "850-607-6910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 N Wilson St",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325362639",
            "country_code": "US",
            "telephone_number": "850-398-6021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4673 E Highway 20",
            "address_purpose": "LOCATION",
            "city": "Niceville",
            "state": "FL",
            "postal_code": "325789796",
            "country_code": "US",
            "telephone_number": "850-897-0621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7552 Navarre Pkwy Unit 2",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325667312",
            "country_code": "US",
            "telephone_number": "850-939-4190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6479 Caroline St Ste A",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325704549",
            "country_code": "US",
            "telephone_number": "850-910-4089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1981 Lewis Turner Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325471256",
            "country_code": "US",
            "telephone_number": "850-863-0818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2431 Creighton Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325047337",
            "country_code": "US",
            "telephone_number": "850-324-0633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6800 W Highway 98",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325068969",
            "country_code": "US",
            "telephone_number": "850-912-6997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROUD MOMENTS ABA OF FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "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.",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-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"
        }
    ]
}

• Xenia Protopopescu, M.D.
• Themistocles Protopsaltis, M.D.
• Gary Michael Prottas, L.P.
• Barry S Protter, PH.D.
• Margot Protzel, MSW
• 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 ABA Services LLC
• Proud Moments Licensed Behavior Analysts PLLC (Proud Moments ABA)

• Behavior Analyst in New York, NY
• Providers in New York, NY by specialty
• Behavior Analyst in New York

• 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.