Zoe Lydia Bacon

NPI #1003374950 in Northglenn, Colorado

Provider Information

NPI Number: 1003374950
Entity Type: Individual
Name: Zoe Lydia Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 11, 2019
Last Updated: Mar 11, 2019

Practice Location

Address: 11698 HURON ST STE 106
City: Northglenn
State: Colorado
ZIP Code: 80234-2920
Phone: (720) 381-0264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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