Amanda Lynn Vaughn, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44095 Issued in IL

Practice address

2520 Versailles Ave Apt 103
Naperville, IL 60540-1973

Phone

(708) 821-6050

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1144934076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 VERSAILLES AVE APT 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401973",
            "telephone_number": "708-821-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 VERSAILLES AVE APT 103",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401973",
            "telephone_number": "708-821-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-20-44095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreya Vasavada, PA
• Maria V. Vasich, L.C.S.W.
• John Vasko, M.D.
• Kaitlin B Vassar
• Debbie Vaughan, LCPC
• Eboni Vaughn, FNP
• John Keith Vavrinak
• Alberto Vazquez
• Katarina Yazmin Vazquez
• Ryan John Vealey, MD

• Behavior Analyst in Naperville, IL
• Providers in Naperville, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.