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NPI Code Detail

MEDICARE: ADRIENNE AUGUSTUS

MEDICARE: ADRIENNE AUGUSTUS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1699626689
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIENNE AUGUSTUS
Provider Business Mailing Address
First Line : 3016 W 43RD PL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-5214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3016 W 43RD PL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90008-5214
Country : US
Telephone Number : 323-652-7173
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ ADRIENNE AUGUSTUS ” Practice Location

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