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Elijah Michael Augustine , MS, LBA

Behavior Analyst β€’ Lees Summit, MO

Active NPI 1043966526 Individual Practitioner Male Practitioner
Practice location in NPPES

1220 Ne Windsor Dr
Lees Summit, MO 640865594

Call 5734108176 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1220 Ne Windsor Dr

Lees Summit, MO 640865594

Telephone 5734108176

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lees Summit and Missouri

17 active clinicians are listed under Behavior Analyst with a practice address in Lees Summit, MO (1,189 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lees Summit

0% of these 17 clinicians have the CMS telehealth indicator.

0% of these 17 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-22
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES MO 2026011574

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 22, 2026

Recorded as ELIJAH AUGUSTINE, MS, LBA

πŸ“
Updated Practice Location March 24, 2026

Registered at 1220 NE WINDSOR DR, LEES SUMMIT, MO 640865594 (Tel: 5734108176)

πŸ“
Updated Business Mailing Address March 24, 2026

Registered at 1220 NE WINDSOR DR, LEES SUMMIT, MO 640865594 (Tel: 5734108176)

πŸ‘€
Provider Name / Credentials Updated March 24, 2026

Recorded as ELIJAH AUGUSTINE, MS, PLBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2026

Behavior Analyst (license number reported to NPPES: MO 2026011574)

πŸ“
Updated Practice Location August 22, 2024

Registered at 1460 NW VIVION RD, KANSAS CITY, MO 641184555 (Tel: 8168530946)

πŸ‘€
Provider Name / Credentials Updated August 22, 2024

Recorded as ELIJAH AUGUSTINE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2024

Behavior Technician (license number reported to NPPES: None RBT-24-333896)

βœ…
NPI Profile Active February 23, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 23, 2022

Registered at 4721 S CLIFF AVE STE 103, INDEPENDENCE, MO 640556969 (Tel: 8166081958)

πŸ“
Business Mailing Address (Initial Record) February 23, 2022

Registered at 4721 S CLIFF AVE STE 103, INDEPENDENCE, MO 640556969 (Tel: 8166081958)

πŸ‘€
Provider Name / Credentials (Initial Record) February 23, 2022

Recorded as EMILY AUGUSTINE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 23, 2022

Behavior Technician

🟒
Initial NPI Registration & Enumeration February 23, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043966526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2022
Last Update: May 22, 2026
Sole Proprietor: No

Mailing Address

1220 Ne Windsor Dr

Lees Summit, MO 640865594

Phone: 5734108176

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.