PROUD MOMENTS ABA NPI 1477465425

NPI Details

PROUD MOMENTS ABA is a community behavioral health in Albuquerque, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROUD MOMENTS ABA NPI is 1477465425. The provider is registered as an organization entity type.

The provider's business location address is:

10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM
ZIP 87114-917
Phone: (505) 856-6880

The provider's authorized official is Barbara Tisdale .
The authorized official title is Recruiter and has the following contact phone number (718) 215-5311.

The enumeration date for this NPI number is 9/22/2026 and was last updated on 9/22/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: