# PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841119542
- **Authorized official:** MARK A YOST JR. (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (718) 215-5311

## Contact information

- **Practice address:** 9171 BALTIMORE NATIONAL PIKE, ELLICOTT CITY, MD 21042-3944
- **Practice address phone:** (718) 215-5311
- **Mailing address:** PO BOX 360595, PITTSBURGH, PA 15251-6595
- **Mailing address phone:** (718) 215-5311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 07/15/2026
- **Last updated:** 07/15/2026