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

Haley Ann Bacon

Individual provider Behavior Technician · NPI 1710785597

Haley Ann Bacon is a Behavior Technician in East Chicago, Indiana. Licensed in Indiana and Tennessee. Registered with an NPI since 2025.

Licensed in
IN, TN
In the registry since
2025
Specialties on file
3

Practice location Address checks out

4840 Grasselli St
East Chicago, IN 46312-3503
Phone: (219) 397-1085
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-26-87862 (IN)
Behavior Technician Taxonomy 106S00000X · Licence RBT-23-305690 (TN)
Assistant Behavior Analyst Taxonomy 106E00000X · Licence 0-25-16388 (IN)

Record details

NPI number1710785597
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1209 W Main St, Griffith, IN 46319-2620

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