Hac Extended Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

HAC EXTENDED INC

Practice address

2021 E Hennepin Ave Ste 418B
Minneapolis, MN 55413-2700

Phone

(612) 757-6640

NPI assigned

Apr 12, 2024

Organization subpart

No

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

Authorized official

Name

Koshin Ali

Title

President

Phone

(612) 757-6640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1922852334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE STE 418B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "612-757-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE STE 418B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "612-757-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAC EXTENDED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "KOSHIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-757-6640"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Behavior Analyst in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.

Verify at the official NPI Registry.