Ebony Augustin
Behavior Analyst in Crystal Lake, IL. Individual provider (NPI-1).
NPI number1114482148
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1114482148
- Entity type
- Individual (NPI-1)
- Name
- Ebony Augustin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2019
- Last updated
- Feb 4, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
780 McArdle Dr Ste AbcCrystal Lake, IL 60014-8155
Phone 779-220-6262
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 36 Behavior Analyst providers in Crystal Lake · All 1,922 providers in Crystal Lake
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