Individual provider Active NPI

Augusta Iwaria Inegbedion

  • Behavior Analyst
  • North Miami, FL
National Provider Identifier
1427614072
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-24-76339 Issued in FL
Practice address
1647 NE 124TH LN
North Miami, FL 33181-2543
Phone
(202) 813-6946
NPI assigned
May 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-19-04-23 FL
Behavior Analyst 103K00000X 1-24-76339 FL Primary

Addresses

Primary practice location

1647 NE 124TH LN
North Miami, FL 33181-2543

Mailing address

1647 NE 124TH LN
North Miami, FL 33181-2543
Phone (202) 813-6946

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

NPI Registry JSON

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

{
    "created_epoch": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1427614072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 NE 124TH LN",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812543",
            "telephone_number": "202-813-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 NE 124TH LN",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812543",
            "telephone_number": "202-813-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INEGBEDION",
        "first_name": "AUGUSTA",
        "middle_name": "IWARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-04-23",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-76339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.