Individual
MARVETTA VAUGHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 E KEY BLVD, MIDWEST CITY, OK 73110-5031
(405) 582-2525
(405) 582-2531
Mailing address
232 E KEY BLVD, MIDWEST CITY, OK 73110-5031
(405) 582-2525
(405) 582-2531
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OK
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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