Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Bacon Jr.

Individual provider Behavior Technician · NPI 1003760190

Brian Bacon Jr. is a Behavior Technician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

2400 W Dunlap Ave Ste 100
Phoenix, AZ 85021-2813
Phone: (623) 570-7070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (AZ)

Record details

NPI number1003760190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 24, 2026
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026
Mailing address996 Royal Marco Way, Marco Island, FL 34145-1829

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