Individual
DEANNA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6192 RANCH LN, SAN ANGELO, TX 76904-9558
(919) 324-4066
Mailing address
6192 RANCH LN, SAN ANGELO, TX 76904-9558
(919) 324-4066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
Other
Enumeration date
11/17/2020
Last updated
01/13/2021
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