Individual
ADRIANA COGLIANDRO VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 HURD AVE, SAUGUS, MA 01906-2514
(178) 135-3881
Mailing address
36 HURD AVE, SAUGUS, MA 01906-2514
(178) 135-3881
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
S32943381
MA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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