Organization Active NPI

Tracy Bein, LLC

  • Behavior Analyst
  • Kihei, HI
National Provider Identifier
1508507864
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
TRACY BEIN, LLC
Practice address
44 Kanani Rd Apt 3-201
Kihei, HI 96753-6716
Phone
(808) 283-9061
NPI assigned
Apr 1, 2022
Last updated
Apr 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Authorized official

Name
Tracy Ruggiero Bein, BCBANPI 1285969592
Title
Owner/Behavior Analyst
Phone
(808) 283-9061

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

44 Kanani Rd Apt 3-201
Kihei, HI 96753-6716

Mailing address

44 Kanani Rd Apt 3-201
Kihei, HI 96753-6716
Phone (808) 283-9061

Other identifiers 1

IdentifierTypeStateIssuer
825755MedicaidHI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1508507864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 KANANI RD APT 3-201",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536716",
            "telephone_number": "808-283-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 KANANI RD APT 3-201",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536716",
            "telephone_number": "808-283-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY BEIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "BEIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "RUGGIERO",
        "authorized_official_title_or_position": "OWNER/BEHAVIOR ANALYST",
        "authorized_official_telephone_number": "808-283-9061",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825755",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.