NPI | 1417106022 |
---|---|
Former Name | BRITTANY VAUGHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 053) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
103K00000X Behavior Analyst (Licence: MO 2013032152) | |
Enumeration Date | 2008-09-18 |
Last Update Date | 2019-03-19 |