Individual
JESSIE MICHELE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
148 S BROADWAY ST, ALBANY, IN 47320-1717
(765) 233-2536
Mailing address
148 S BROADWAY ST, ALBANY, IN 47320-1717
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25020
IN
103K00000X
Behavior Analyst
Primary
11725020
IN
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-25020
BACB
—
05
—
300015015
—
IN
Enumeration date
07/19/2017
Last updated
02/18/2026
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