Individual
ABIGAIL GRACE VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N/A
Contact information
Practice address
1360 CADUCEUS WAY, BLD 600 STE 101, WAKTINSVILLE, GA 30677
(762) 499-3476
Mailing address
1360 CADUCEUS WAY, BLD 600 STE 101, WATKINSVILLE, GA 30677
(762) 499-3476
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-288793
GA
Other
Enumeration date
10/13/2023
Last updated
03/13/2025
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