Namira Jade Vaughn

NPI #1013690221 in Troy, Michigan

Provider Information

NPI Number: 1013690221
Entity Type: Individual
Name: Namira Jade Vaughn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 14, 2023
Last Updated: Aug 14, 2023

Practice Location

Address: 100 W BIG BEAVER RD STE 200
City: Troy
State: Michigan
ZIP Code: 48084-5283
Phone: (678) 894-1116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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