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

Keimiah Bacon

Individual provider Behavior Technician · NPI 1205619541

Keimiah Bacon is a Behavior Technician in West Fargo, North Dakota. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1405 Prairie Pkwy Ste 309
West Fargo, ND 58078-3323
Phone: (701) 277-8844
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1205619541
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2023
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023
Mailing address647 13th Ave E, West Fargo, ND 58078-3328

Other providers in West Fargo