Individual
JARROD VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
640 NORTH ST, PORTSMOUTH, VA 23704-2415
(757) 967-9926
Mailing address
621 QUEEN ST, PORTSMOUTH, VA 23704-3727
(816) 588-7163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/02/2019
Last updated
06/21/2023
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