Individual
JONATHAN VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
413 WISCONSIN AVE, BELEN, NM 87002-4619
(505) 493-5357
Mailing address
413 WISCONSIN AVE, BELEN, NM 87002-4619
(505) 493-5357
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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