Active NPI
Kenneth Aaron Pohl
- Behavior Analyst
- Hamden, CT
National Provider Identifier
1851939631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2008
- Practice address
- 2666 State St Ste A3
Hamden, CT 06517-2232 - Phone
- (888) 754-0398
- NPI assigned
- Dec 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2008 | CT | Primary |
| Behavior Analyst | 103K00000X | 1-22-60292 | OK | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2666 State St Ste A3
Hamden, CT 06517-2232
Mailing address
24 E 24TH St
Tulsa, OK 74114-2406
Phone (918) 850-0970
Other practice location 1
7306 S Yale Ave
Tulsa, OK 74136-7027
Phone (855) 223-7123
Other practice location 2
7107 S. Braden Ave. Suite 195
Tulsa, OK 74136
Phone (918) 280-0090
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": "1576108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1851939631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 E 24TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741142406",
"telephone_number": "918-850-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2666 STATE ST STE A3",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065172232",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [
{
"address_1": "7306 S Yale Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741367027",
"country_code": "US",
"telephone_number": "855-223-7123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7107 S. Braden Ave. Suite 195",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "74136",
"country_code": "US",
"telephone_number": "918-280-0090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POHL",
"first_name": "KENNETH",
"middle_name": "AARON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-12",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "2008",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "1-22-60292",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.