Jillian Ashleigh Bacon
Jillian Ashleigh Bacon is a Behavior Technician in Concord, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
8440 Pit Stop CT NWConcord, NC 28027-8245
Phone: (704) 960-1729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1689249716 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 21, 2021 |
| Last updated in NPPES | May 21, 2021 |
| Certification date | May 15, 2021 |
| Mailing address | 2675 Court Dr, Gastonia, NC 28054-1478 |
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