Austin James Engquist

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1331118 Issued in IL

Practice address

2814 Gabriel Ave
Zion, IL 60099-2526

Phone

(224) 456-6130

NPI assigned

Jul 28, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1912880907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14913 W RUSSELL RD APT 1W",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600999234",
            "telephone_number": "224-456-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 GABRIEL AVE",
            "city": "ZION",
            "state": "IL",
            "postal_code": "600992526",
            "telephone_number": "224-456-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGQUIST",
        "first_name": "AUSTIN",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "BACB1331118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Waltz Dowdy V, CRC, LCPC, AACC
• Neil Curtis Dunavin, M.D.
• Wallis Olivia Edwards, MD
• Julie K. Elliott, MH, CLA, CD(DONA)
• Ryan H. Engel, DO
• Clarence D Engstrom, MD
• Lafay Erving, LCPC
• Susan Jean Fairley-Holbach, NURSE PRACTITIONER
• Faith Home Care Services
• Hongyu Fang, M.D.

• All providers in Zion, IL
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.