Jared A Bacon, BT

NPI #1760960314 in Las Cruces, New Mexico

Provider Information

NPI Number: 1760960314
Entity Type: Individual
Name: Jared A Bacon, BT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BT
Enumeration Date: Aug 4, 2018
Last Updated: Aug 4, 2018

Practice Location

Address: 120 WYATT DR
City: Las Cruces
State: New Mexico
ZIP Code: 88005-2925
Phone: (575) 526-6682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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