Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Proud Moments ABA

Organization Behavior Technician · NPI 1558294728

Proud Moments ABA is a Behavior Technician in Bowie, Maryland. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4961 Tesla Dr Ste A-C
Bowie, MD 20715-4405
Phone: (301) 329-8155
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1558294728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariela Samuel — Behavioral Tech · (240) 956-9658
NPI enumeratedJune 5, 2026
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address7724 Maple Ave Apt 14, Takoma Park, MD 20912-5652

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