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

Mr. Elisha Bacon

Individual provider Behavior Technician · NPI 1548059082

Mr. Elisha Bacon is a Behavior Technician in Port Saint Lucie, Florida. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1801 SE Hillmoor Dr Ste B101-103
Port Saint Lucie, FL 34952-7553
Phone: (772) 463-0444
Show map & directions

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

Additional practice locations (1)

  • 1887 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5530 — (772) 463-0444

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1548059082
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address4803 Wellington Way Sw, Vero Beach, FL 32968-2338

Other providers in Port Saint Lucie