Individual
MR. DOUGLAS VAUGHN WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
701 AZON RD FL 2, JOHNSON CITY, NY 13790-1724
(607) 584-0719
(607) 770-1446
Mailing address
51 LORI DR, APALACHIN, NY 13732-3904
(607) 765-3332
(607) 770-1446
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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