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Kimberly Vaughn

Behavior Technician in East Syracuse, NY. Individual provider (NPI-1).

NPI number1609686641
StatusActive
Last updated in NPPESJan 11, 2025

Details

NPI
1609686641
Entity type
Individual (NPI-1)
Name
Kimberly Vaughn
Sex
Female
Sole proprietor
No
Enumeration date
Jan 11, 2025
Certification date
Jan 11, 2025
Last updated
Jan 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

6319 Fly Rd
East Syracuse, NY 13057-9357

Phone 718-215-5311 · Fax 718-865-5165

Mailing address

6319 Fly Rd
East Syracuse, NY 13057-9357

Phone 718-215-5311 · Fax 718-865-5165

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Other Behavior Technician providers in East Syracuse, NY

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