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NPI Code Detail

MEDICARE: SIERRA VAUGHT BCBA

MEDICARE: SIERRA VAUGHT BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-26-88531CO

General Provider Information

NPI Number : 1063165561
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA VAUGHT BCBA
Provider Business Mailing Address
First Line : 17230 JACKSON CREEK PKWY STE 220
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7304
Country : US
Telephone Number : 719-488-3348
Fax Number :
Provider Business Practice Location Address
First Line : 17230 JACKSON CREEK PKWY STE 220
Second Line :
City : MONUMENT
State : CO
Zip : 80132-7304
Country : US
Telephone Number : 719-488-3348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2022
Last Update Date : 03/27/2026

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Directions to “ SIERRA VAUGHT BCBA” Practice Location

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