Individual
TAMARA L VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TWP, NJ 08234-6109
(703) 564-1634
Mailing address
2567 TILTON RD APT B3, EGG HARBOR TWP, NJ 08234-1839
(609) 317-5973
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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