Josie Ann Bacon

NPI #1346703121 in Kent, Washington

Provider Information

NPI Number: 1346703121
Entity Type: Individual
Name: Josie Ann Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 9, 2019
Last Updated: Apr 9, 2019

Practice Location

Address: 6624 S 196TH ST STE 107
City: Kent
State: Washington
ZIP Code: 98032-3113
Phone: (800) 249-1266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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