| Proud Moments Licensed Behavior Analysts PLLC | |
|
12210 Plum Orchard Dr Ste 216 Silver Spring MD 20904-7911 | |
| (718) 215-5311 | |
| Not Available |
| Full Name | Proud Moments Licensed Behavior Analysts PLLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 12210 Plum Orchard Dr Ste 216, Silver Spring, Maryland |
| Authorized Official Name and Position | Mark a Yost (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7182155311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proud Moments Licensed Behavior Analysts PLLC Po Box 360595 Pittsburgh PA 15251-6595 | Proud Moments Licensed Behavior Analysts PLLC 12210 Plum Orchard Dr Ste 216 Silver Spring MD 20904-7911 Ph: (718) 215-5311 |
| NPI Number | 1194644898 |
|---|---|
| Provider Enumeration Date | 07/15/2026 |
| Last Update Date | 07/15/2026 |
| Certification Date | 07/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194644898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (NU) | Primary |
| 251S00000X | Community/behavioral Health | (NU) | Secondary |
| 106S00000X | Behavior Technician | (NU) | Secondary |
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