Individual provider Active NPI

Augustine T Sakilah

  • Behavior Technician
  • Tempe, AZ
National Provider Identifier
1760350201
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1834 E Baseline Rd Ste 101
Tempe, AZ 85283-1508
Phone
(405) 485-5001
NPI assigned
Oct 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X AZ Primary

Addresses

Primary practice location

1834 E Baseline Rd Ste 101
Tempe, AZ 85283-1508

Mailing address

12347 W Meadowbrook Ave
Avondale, AZ 85392-4293
Phone (602) 475-2069

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1760350201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12347 W MEADOWBROOK AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924293",
            "telephone_number": "602-475-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 E BASELINE RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831508",
            "telephone_number": "405-485-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKILAH",
        "first_name": "AUGUSTINE",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.