Individual provider Active NPI

Alexander Poulsen Hodjat, BCBA

  • Behavior Analyst
  • Torrance, CA
National Provider Identifier
1235718461
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-39934 Issued in CA
Practice address
2909 Oregon CT Ste A1
Torrance, CA 90503-2693
Phone
(310) 320-1333
Fax
(310) 320-6555
NPI assigned
Apr 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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 1-19-39934 CA Primary

Addresses

Primary practice location

2909 Oregon CT Ste A1
Torrance, CA 90503-2693

Mailing address

2909 Oregon CT Ste A1
Torrance, CA 90503-2693
Phone (310) 320-1333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alex.poulsen-hodjat@autismprograms.com

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

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1235718461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 OREGON CT STE A1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032693",
            "telephone_number": "310-320-1333",
            "fax_number": "310-320-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 OREGON CT STE A1",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032693",
            "telephone_number": "310-320-1333",
            "fax_number": "310-320-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSEN HODJAT",
        "first_name": "ALEXANDER",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-19-39934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alex.poulsen-hodjat@autismprograms.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "address_1": "2909 Oregon Ct Ste A1",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905032693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.