NPI 1184464836 · live from the CMS NPI Registry
Vianey Agustin
Behavior Analyst in Plainfield, IL. National Provider Identifier 1184464836, active.
NPI record
| NPI | 1184464836 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 23909 W Renwick Rd Ste 105, Plainfield, IL 60544 |
| Practice phone | 779-234-9583 |
| Mailing address | 316 Fieldstone Ct, Bolingbrook, IL 60440 |
| Enumerated | May 30, 2024 |
| Last updated | May 30, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | RBT-23-319511 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.