Organization
PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A YOST JR. (CHIEF COMPLIANCE OFFICER)
(718) 215-5311
Entity
Organization
Contact information
Practice address
900 COMMERCE RD, ANNAPOLIS, MD 21401-2948
(718) 215-5311
Mailing address
PO BOX 360595, PITTSBURGH, PA 15251-6595
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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