Vaughn, Jessie Michele

Vaughn, Jessie Michele is an individual health care provider with primary practice located at 3601 W Bethel Ave , Muncie IN 47304-5408. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Vaughn, Jessie Michele can be contacted via phone (765) 282-8222.

Contact Information

Primary practice address
3601 W Bethel Ave Muncie IN 47304-5408
Fax:
Website:

Health care specialties

Profile Details

NPI number 1427571678
LBN Legal business name Vaughn, Jessie Michele
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2017
Last updated Jul 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427571678 NPPES
Indiana MEDICAID 300015015

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