Organization
TRACY BEIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY RUGGIERO BEIN BCBA (OWNER/BEHAVIOR ANALYST)
(808) 283-9061
Entity
Organization
Contact information
Practice address
44 KANANI RD APT 3-201, KIHEI, HI 96753-6716
(808) 283-9061
Mailing address
44 KANANI RD APT 3-201, KIHEI, HI 96753-6716
(808) 283-9061
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825755
—
HI
Enumeration date
04/01/2022
Last updated
04/01/2022
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