Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PROUD MOMENTS ABA
Active
Organization
PROUD MOMENTS ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA R SAMUEL (BEHAVIORAL TECH)
(240) 956-9658
Entity
Organization
Contact information
Practice address
4961 TESLA DR STE A-C, BOWIE, MD 20715-4405
(301) 329-8155
Mailing address
7724 MAPLE AVE APT 14, TAKOMA PARK, MD 20912-5652
(240) 956-9658
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up