Proud Moments Licensed Behavior Analysts PLLC
Behavior Analyst in Annapolis, MD. Organization (NPI-2).
NPI number1265351985
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1265351985
- Entity type
- Organization (NPI-2)
- Legal business name
- Proud Moments Licensed Behavior Analysts PLLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2026
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 106S00000X | Behavior Technician | – | – | |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
900 Commerce RdAnnapolis, MD 21401-2948
Phone 718-215-5311
Mailing address
Po Box 360595Pittsburgh, PA 15251-6595
Authorized official
Mark A Yost
Chief Compliance Officer
7182155311
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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