Individual provider Active NPI

Jacqueline M Beug, BCBA, LBA

  • Behavior Analyst
  • Reno, NV
National Provider Identifier
1962791434
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
LBA0018 Issued in NV
Practice address
10574 Moss Wood CT
Reno, NV 89521-4148
Phone
(775) 843-7574
Fax
(775) 448-6758
NPI assigned
Apr 5, 2011
Last updated
Mar 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X LBAT012511 NV
Behavior Analyst 103K00000X LBA0018 NV Primary

Addresses

Primary practice location

10574 Moss Wood CT
Reno, NV 89521-4148

Mailing address

10574 Moss Wood CT
Reno, NV 89521-4148
Phone (775) 843-7574

Other identifiers 3

IdentifierTypeStateIssuer
9005056476MedicaidNV
1962791MedicaidNV
12205435OtherNVCAQH

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
LBA0018NVMDBehavioral Analyst
LBAT012511NVMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Morpho Behavioral Services Behavior Analyst Current Accepting new patients
Jacqueline Beug Dba Beug Behavioral Intervention and Constuling Servic Past Accepting new patients

Organizations & group practices 2

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": "1301961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1962791434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10574 MOSS WOOD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214148",
            "telephone_number": "775-843-7574",
            "fax_number": "775-448-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10574 MOSS WOOD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214148",
            "telephone_number": "775-843-7574",
            "fax_number": "775-448-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUG",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-05",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBAT012511",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "LBA0018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005056476",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962791",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12205435",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.