Individual
KEYMONNI A VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2804 MARLIN AVE APT D, LAS VEGAS, NV 89101-4712
(702) 249-6946
Mailing address
2804 MARLIN AVE APT D, LAS VEGAS, NV 89101-4712
(702) 249-6946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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