Individual provider Active NPI

Tricia Beinstein, BCBA

  • Behavior Analyst
  • Jupiter, FL
National Provider Identifier
1750729927
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1119235 Issued in FL
Practice address
18966 SE Old Trail Dr W
Jupiter, FL 33478-1818
Phone
(561) 214-0375
Fax
(772) 675-9100
NPI assigned
Jun 11, 2013
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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 1119235 FL Primary

Addresses

Primary practice location

18966 SE Old Trail Dr W
Jupiter, FL 33478-1818

Mailing address

18966 SE Old Trail Dr W
Jupiter, FL 33478-1818
Phone (561) 214-0375

Other identifiers 2

IdentifierTypeStateIssuer
117149800MedicaidFL
103K0000X-BEHAVIORALMedicaidFL

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
1119235FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Community Services Inc Behavior Analyst CurrentSince Jul 25, 2019 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": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1750729927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18966 SE OLD TRAIL DR W",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334781818",
            "telephone_number": "561-214-0375",
            "fax_number": "772-675-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18966 SE OLD TRAIL DR W",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334781818",
            "telephone_number": "561-214-0375",
            "fax_number": "772-675-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEINSTEIN",
        "first_name": "TRICIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1119235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117149800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103K0000X-BEHAVIORAL",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.