Amalie K Hodges

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1800 NW 169TH PL Ste C100
Beaverton, OR 97006-7362

Phone

(503) 747-2587

Fax

(503) 746-6323

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

No

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.

• Westside Behavior Therapy, LLC.

  • Behavior Analyst
  • Beaverton, OR
  • NPI 1356733901
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2023.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1649958554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL STE C100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067362",
            "telephone_number": "503-747-2587",
            "fax_number": "503-746-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NW 169TH PL STE C100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067362",
            "telephone_number": "503-747-2587",
            "fax_number": "503-746-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "AMALIE",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Laurie Hobbel, PT
• Donna M Hobson
• Jennifer E Hockema, RDH
• Denise Julie Hockley, LMFT
• Wallace C Hodge, DMD
• Brent Hodgson, LMT
• Seneca J Hofbauer, BCBA
• Dixie Hofer
• Chantell Marie Hoffman, PA -C
• Jaclyn Marie Winfree Hogan

• All providers in Beaverton, OR
• Behavior Technician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.