Jennifer R Bacon

NPI #1275025835 in Leander, Texas

Provider Information

NPI Number
1275025835
Entity Type
Individual
Name
Jennifer R Bacon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 30, 2018
Last Updated
May 30, 2018

Practice Location

Address
125 REDTAIL LN
State
Texas
ZIP Code
78641-3830
Phone
(614) 804-6066

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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