KARSON KANANI BACON
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1578278974- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 219 42ND ST, SPRINGFIELD, OR, 974785937
- Phone
- (541) 224-6897
Specialties & Taxonomies
Behavior Technician
Primary