Brooke Bacon

NPI #1932723343 in San Clemente, California

Provider Information

NPI Number: 1932723343
Entity Type: Individual
Name: Brooke Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 1, 2020
Last Updated: Jun 1, 2020

Practice Location

Address: 1007 CALLE SOMBRA STE A
City: San Clemente
State: California
ZIP Code: 92673-6244
Phone: (949) 272-6146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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