Individual
SHANNON RENNA VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 GLEN OAK BLVD, HENDERSONVILLE, TN 37075-6423
(615) 637-3300
Mailing address
194 HAMPSHIRE WAY, WHITE HOUSE, TN 37188-4115
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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