Individual
IMANI MONE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16021 CONTINENTAL BLVD, SOUTH CHESTERFIELD, VA 23834-5900
(800) 557-6330
Mailing address
16021 CONTINENTAL BLVD, SOUTH CHESTERFIELD, VA 23834-5900
(800) 557-6330
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
VA
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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