Active NPI
Vianey Agustin
- Behavior Analyst
- Plainfield, IL
National Provider Identifier
1184464836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-23-319511
- Practice address
- 23909 W Renwick Rd Ste 105
Plainfield, IL 60544-2109 - Phone
- (779) 234-9583
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-23-319511 | IL | Primary |
Addresses
Primary practice location
23909 W Renwick Rd Ste 105
Plainfield, IL 60544-2109
Mailing address
316 Fieldstone CT
Bolingbrook, IL 60440-2891
Phone (630) 429-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-319511 | IL | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1184464836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 FIELDSTONE CT",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604402891",
"telephone_number": "630-429-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23909 W RENWICK RD STE 105",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "605442109",
"telephone_number": "779-234-9583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUSTIN",
"first_name": "VIANEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "IL",
"license": "RBT-23-319511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.