NPI 1043966526 · live from the CMS NPI Registry
Elijah Michael Augustine, MS, LBA
Behavior Analyst in Lees Summit, MO. National Provider Identifier 1043966526, active.
NPI record
| NPI | 1043966526 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1220 Ne Windsor Dr, Lees Summit, MO 64086 |
| Practice phone | 573-410-8176 |
| Enumerated | February 23, 2022 |
| Last updated | May 22, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 2026011574 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.