ELIJAH MICHAEL AUGUSTINE

KANSAS CITY, MO
NPI1043966526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence:   RBT-24-333896)
Enumeration Date2022-02-23
Last Update Date2024-08-22
Business Address
ELIJAH MICHAEL AUGUSTINE
1460 NW VIVION RD
KANSAS CITY, MO 64118-4555
Phone number: 816-853-0946
Mailing Address
ELIJAH MICHAEL AUGUSTINE
4721 S CLIFF AVE STE 103
INDEPENDENCE, MO 64055-6969
Phone number: 816-608-1958
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