Organization
PROUD MOMENTS LICENSED BEHAVIOR ANALYSTS PLLC
Active
Other names
Proud Moments ABA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A YOST JR. ESQ. (GENERAL COUNSEL)
(718) 215-5311
Entity
Organization
Contact information
Practice address
350 5TH AVE STE 6115, NEW YORK, NY 10118-6002
(718) 215-5311
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
—
—
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/09/2014
Last updated
02/03/2026
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