Individual
AMANDA LYNN VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2520 VERSAILLES AVE APT 103, NAPERVILLE, IL 60540-1973
(708) 821-6050
Mailing address
2520 VERSAILLES AVE APT 103, NAPERVILLE, IL 60540-1973
(708) 821-6050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44095
IL
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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