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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PROUD MOMENTS ABA
NPI 1477465425
Community/Behavioral Health in Albuquerque, NM

Active since September 22, 2026
10511 GOLF COURSE RD NW STE 103, ALBUQUERQUE, NM 87114(505) 856-6880 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Proud Moments Aba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROUD MOMENTS ABA (NPI 1477465425) is a healthcare organization registered as a community/behavioral health in Albuquerque, New Mexico and active in the NPI registry since September 2026. The organization lists Barbara Tisdale, Recruiter, as its authorized official.

NPPES Registry Identity

NPI1477465425
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROUD MOMENTS ABA
Location Address10511 GOLF COURSE RD NW STE 103Albuquerque, NM 87114-5917
Mailing Address10511 Golf Course Rd Nw Ste 103Albuquerque, NM 87114-5917 · (505) 856-6880
Phone(505) 856-6880
Organization SubpartNo
Authorized OfficialBarbara TisdaleRecruiter · (718) 215-5311
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1477465425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
10511 GOLF COURSE RD NW STE 103, Albuquerque, NM 87114
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXUS CINDERELLA BAEZA
Behavior Technician
10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM 87114
Bernalillo County (505) 856-6880
MISS ISABELLA ROSE CANDELARIA I N/A
Behavior Technician
10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM 87114
Bernalillo County (505) 856-6880
DAVID FREEMAN MD
Surgery
10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM 87114
Bernalillo County (505) 262-7281
AMANDA ROBERTS
Behavior Technician
10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM 87114
Bernalillo County (505) 856-6880
JASMINE SIMONE GOODRIDGE
Behavior Technician
10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM 87114
Bernalillo County (505) 856-6880
MRS. JOLENE Z PRIETO
Behavior Technician
10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM 87114
Bernalillo County (505) 856-6880
AUTUMN REYES
Behavior Technician
10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM 87114
Bernalillo County (505) 856-6880
LAURA CARBAJAL
Behavior Technician
10511 GOLF COURSE RD NW STE 103
ALBUQUERQUE, NM 87114
Bernalillo County (512) 661-9477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proud Moments Aba's NPI number?

The NPI number for Proud Moments Aba is 1477465425. It was assigned to this organization in the NPPES registry on September 22, 2026.

Where is Proud Moments Aba located?

Proud Moments Aba is located at 10511 Golf Course Rd NW Ste 103, Albuquerque, NM 87114. The listed phone number is (505) 856-6880.

What is Proud Moments Aba's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Proud Moments Aba was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.