STEVEN A BACON BS
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1902411879- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BS
- Status
- Active
Contact & Location
- Address
- 8670 210TH ST W, LAKEVILLE, MN, 550447000
- Phone
- (800) 438-1772
- Fax
- (262) 345-5562
Specialties & Taxonomies
Behavior Technician
Primary