Individual
BOBBIE VAUGHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, BCBA
Contact information
Practice address
880 6TH ST. SOUTH, ST. PETERSBURG, FL 33703
(727) 767-3120
Mailing address
201 41ST AVE N, ST. PETERSBURG, FL 33703
(727) 692-2768
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-06-2979
FL
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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