Taylor Grace Bacon

NPI #1548818800 in Dupont, Washington

Provider Information

NPI Number: 1548818800
Entity Type: Individual
Name: Taylor Grace Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 29, 2019
Last Updated: Aug 29, 2019

Practice Location

Address: 1570 WILMINGTON DR STE 220
City: Dupont
State: Washington
ZIP Code: 98327-8773
Phone: (206) 453-4882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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