Individual
AMANDA TAYLOR VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
120 EVEREST LN, ST JOHNS, FL 32259-4062
(904) 297-2433
Mailing address
176 WESTHARBOR DR, PALATKA, FL 32177-7222
(737) 230-7845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BCBA899100
TX
Other
Enumeration date
05/01/2023
Last updated
07/10/2024
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