Individual provider Active NPI

Hagop Rouchanian, BCBA

  • Behavior Analyst
  • San Bruno, CA
National Provider Identifier
1104321280
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-29818 Issued in CA
Practice address
517 Acacia Ave
San Bruno, CA 94066-4221
Phone
(650) 787-6667
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-29818 CA Primary

Addresses

Primary practice location

517 Acacia Ave
San Bruno, CA 94066-4221

Mailing address

517 Acacia Ave
San Bruno, CA 94066-4221

Other practice location 1

917 Hensley Ave
San Bruno, CA 94066-3147
Phone (650) 787-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope for Ohana, LLC Behavior Analyst CurrentSince Jan 14, 2024 Accepting new patients

Locations

548 Market St
San Francisco, CA 94104
Phone (415) 275-1838

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1104321280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 ACACIA AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 ACACIA AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940664221",
            "telephone_number": "650-787-6667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 Hensley Ave",
            "address_purpose": "LOCATION",
            "city": "San Bruno",
            "state": "CA",
            "postal_code": "940663147",
            "country_code": "US",
            "telephone_number": "650-787-6667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUCHANIAN",
        "first_name": "HAGOP",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-18-29818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.