Individual
COURTNEY VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
515 S 700 E STE 2A, SALT LAKE CITY, UT 84102-2855
(801) 935-4171
Mailing address
264 HOMETOWN CT, TOOELE, UT 84074-1583
(318) 880-7829
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11000992-2506
UT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/29/2017
Last updated
06/01/2022
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