Active NPI
Alexis Kaufman
- Behavior Analyst
- Honolulu, HI
National Provider Identifier
1992270482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- BA457
- Practice address
- 500 Ala Moana Blvd
Honolulu, HI 96813-4920 - Phone
- (808) 354-0090
- Fax
- (772) 675-9100
- NPI assigned
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | BA457 | HI | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd
Honolulu, HI 96813-4920
Mailing address
60 Kahope PL
Haiku, HI 96708
Phone (818) 645-3525
Other practice location 1
795 Folsom St
San Francisco, CA 94107-1243
Phone (855) 832-6727
Other practice location 2
60 Kahope PL.
Haiku, HI 96708-9670
Phone (818) 645-3525
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BA457 | HI | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1992270482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 KAHOPE PL",
"city": "HAIKU",
"state": "HI",
"postal_code": "96708",
"telephone_number": "818-645-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134920",
"telephone_number": "808-354-0090",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [
{
"address_1": "795 Folsom St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941071243",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Kahope PL.",
"address_purpose": "LOCATION",
"city": "Haiku",
"state": "HI",
"postal_code": "967089670",
"country_code": "US",
"telephone_number": "818-645-3525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAUFMAN",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "HI",
"license": "BA457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.