Active NPI
Courtney Deal Vaughan, M.S., BCBA, LBA
- Behavior Analyst
- Richmond, VA
National Provider Identifier
1861938664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 133000104
- Practice address
- 4108 E Parham Rd
Richmond, VA 23228-2754 - Phone
- (804) 355-0300
- NPI assigned
- Jan 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 133000104 | VA | Primary |
Addresses
Primary practice location
4108 E Parham Rd
Richmond, VA 23228-2754
Mailing address
4108 E Parham Rd
Richmond, VA 23228-2754
Phone (804) 355-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133000104 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1861938664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4108 E PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232282754",
"telephone_number": "804-355-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4108 E PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232282754",
"telephone_number": "804-355-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUGHAN",
"first_name": "COURTNEY",
"middle_name": "DEAL",
"credential": "M.S., BCBA, LBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-17",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "133000104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.