Organization
PROUD MOMENTS ABA OF NEVADA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A YOST (GENERAL COUNSEL)
(718) 215-5311
Entity
Organization
Contact information
Practice address
9089 S PECOS RD STE 3600, HENDERSON, NV 89074-7186
(702) 680-1523
Mailing address
350 5TH AVE STE 6115, NEW YORK, NY 10118-6002
(718) 215-5311
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-13-13480
BACB
—
Enumeration date
11/27/2018
Last updated
03/05/2025
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