Organization
PROUD MOMENTS ABA OF NEW JERSEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A YOST JR. (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
—
—
Other
Enumeration date
09/24/2020
Last updated
02/13/2025
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