Active NPI
Tracy Bertovich
- Behavior Technician
- Kailua Kona, HI
National Provider Identifier
1346154416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB2792686
- Practice address
- 74-5078 Kumakani St
Kailua Kona, HI 96740-1530 - Phone
- (808) 746-1779
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB2792686 | HI | Primary |
Addresses
Primary practice location
74-5078 Kumakani St
Kailua Kona, HI 96740-1530
Mailing address
74-5078 Kumakani St
Kailua Kona, HI 96740-1530
Phone (808) 746-1779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1346154416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74-5078 KUMAKANI ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401530",
"telephone_number": "808-746-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74-5078 KUMAKANI ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401530",
"telephone_number": "808-746-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOVICH",
"first_name": "TRACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "BACB2792686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.