Individual
ALEXANDRA MARIE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 BEATY GROVE DR, TAMPA, FL 33626-1602
(813) 926-5454
Mailing address
15103 VIRGINIA STA APT 313, ODESSA, FL 33556-3580
(727) 495-4384
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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