ELIJAH MICHAEL AUGUSTINE

LEES SUMMIT, MO
NPI1043966526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: MO  2026011574)
Enumeration Date2022-02-23
Last Update Date2026-03-24
Business Address
ELIJAH MICHAEL AUGUSTINE MS, PLBA
1220 NE WINDSOR DR
LEES SUMMIT, MO 64086-5594
Phone number: 573-410-8176
Mailing Address
ELIJAH MICHAEL AUGUSTINE MS, PLBA
1220 NE WINDSOR DR
LEES SUMMIT, MO 64086-5594
Phone number: 573-410-8176