Eric Shane Vaughn

NPI #1184270415 in Ardmore, Oklahoma

Provider Information

NPI Number: 1184270415
Entity Type: Individual
Name: Eric Shane Vaughn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 13, 2019
Last Updated: Aug 13, 2019

Practice Location

Address: 210 ALLEN DR
City: Ardmore
State: Oklahoma
ZIP Code: 73401-2010
Phone: (580) 630-3686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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