Individual
MRS. TRACY VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
38 RAY RD, HUNTINGTON, WV 25704-9547
(304) 412-3708
Mailing address
38 RAY RD, HUNTINGTON, WV 25704-9547
(304) 412-3708
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12907
WV
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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