Individual
DANIELLE ROSE VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4251 BOTANICAL AVE APT B, SAINT LOUIS, MO 63110-3520
(636) 232-1144
Mailing address
4251 BOTANICAL AVE APT B, SAINT LOUIS, MO 63110-3520
(636) 232-1144
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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