NPI 1245159961

Proud Moments Licensed Behavior Analysts PLLC

Organisation Behavior Analyst Bowie, MD

Practice location

Address: 4961 Tesla Dr STE A-C, Bowie, MD 20715-4405
Phone: (718) 215-5311
Mailing address: PO Box 360595, Pittsburgh, PA 15251-6595

Authorised official

Name: Mark a Yost
Title: Chief Compliance Officer
Phone: (718) 215-5311

Registered specialties (3)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

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Registry record

NPI: 1245159961
Entity type: Organization
NPI issued: 15 Jul 2026
Record last updated: 15 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.