Individual provider Active NPI

Tracy Ruggiero Bein, BCBA

  • Behavior Analyst
  • Kahului, HI
National Provider Identifier
1285969592
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
17 Issued in HI
Practice address
427 Ala Makani St
Kahului, HI 96732-3507
Phone
(808) 244-6879
NPI assigned
Oct 5, 2009
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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 17 HI Primary

Addresses

Primary practice location

427 Ala Makani St
Kahului, HI 96732-3507

Mailing address

427 Ala Makani St
Kahului, HI 96732-3507
Phone (808) 244-6879

Other practice location 1

95 Mahalani St
# 19A
Wailuku, HI 96793-2521
Phone (808) 244-7467 ext. 224

Other names 1

  • Tracy Lynn Ruggiero Former name

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

LicenseStateTypeSpecialty
17HIMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Bein, LLC Behavior Analyst Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1285969592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 ALA MAKANI ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323507",
            "telephone_number": "808-244-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 ALA MAKANI ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323507",
            "telephone_number": "808-244-6879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Mahalani St",
            "address_2": "# 19A",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967932521",
            "country_code": "US",
            "telephone_number": "808-244-7467 x224",
            "fax_number": "808-242-5835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIN",
        "first_name": "TRACY",
        "middle_name": "RUGGIERO",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "HI",
            "license": "17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "RUGGIERO",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.