Elijah Michael Augustine, MS, LBA
Individual provider Active NPI Behavior Analyst · Lees Summit, MO
NPI 1043966526 · NPPES record last updated May 22, 2026
Key facts
- NPI
- 1043966526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 2026011574 (MO)
- Practice address
- 1220 NE Windsor Dr
Lees Summit, MO 64086-5594 - Phone
- (573) 410-8176
- NPI assigned
- Feb 23, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026011574 | MO | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Support Now, LLC | Behavior Analyst | Current |
Accepting new patients |
| Summit Behavioral Services, LLC | Current |
Accepting new patients |
Locations
4721 S Cliff Ave
Ste 103
Independence, MO 64055
Phone (816) 381-9090
1460 NW Vivion Rd
Kansas City, MO 64118
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2026011574 | MO | Yes |
Addresses
Primary practice location
1220 NE Windsor Dr
Lees Summit, MO 64086-5594
Mailing address
1220 NE Windsor Dr
Lees Summit, MO 64086-5594
Phone (573) 410-8176
Other providers in Lees Summit, MO
- Athletico, LTD
- Tamara Atwell
- Kevin D Atwood
- Bradley Aubin
- Augustine Dental LLC
- Joshua Augustine
- Aurora Hand Therapy, Inc
- Michael S. Ausmus
- Austen-Dooley Company
- Austen-Dooley Company
All providers in Lees Summit, MO · Behavior Analyst in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.