Medgine Auguste Hall, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-47869 Issued in FL

Practice address

17507 Lee Hwy
Abingdon, VA 24210-7835

Phone

(276) 525-1338

NPI assigned

Mar 4, 2020

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Mountain Therapy, LLC

  • Behavior Analyst
  • Abingdon, VA
  • NPI 1497330401
  NPD (past)
• Blue Mountain Therapy, LLC

  • Early Intervention Provider Agency
  • Abingdon, VA
  • NPI 1760818595
  NPD (past)
• Bridging the Gap Therapy Solutions

  • Behavior Analyst
  • Tampa, FL
  • NPI 1912405747
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1114552643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8753 TERRACINA LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336253011",
            "telephone_number": "941-757-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17507 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242107835",
            "telephone_number": "276-525-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243823322",
            "country_code": "US",
            "telephone_number": "276-525-6043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MEDGINE",
        "middle_name": "AUGUSTE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-47869",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-114018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Randall Grumpelt, PH.D.
• Guiding Star LLC
• Ahmed Hadreiez, MD
• David W Hale Jr., DO
• Keri Hall
• Sandra T. Halsey, LCSW, CSOTP
• George Oliver Halstead, M.D.
• Joseph M. Hamil
• Vicki Hammel, MS,CCC-SLP
• Mohammad Hanafy

• Behavior Analyst in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.