Samuel Bacon
Samuel Bacon is a Behavior Technician in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2019.
- Licensed in
- WA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
107 S Division StSpokane, WA 99202-1510
Phone: (509) 838-4651
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence CG61384091 (WA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1821630229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 17, 2019 |
| Last updated in NPPES | December 16, 2022 |
| Certification date | December 16, 2022 |
| Mailing address | 107 S Division St, Spokane, WA 99202-1510 |
Other providers in Spokane
-
Chantae Avina
1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 · (509) 999-5657
-
Jane Azevedo
1101 W College Ave, Spokane, WA 99201-2010 · (509) 324-1433
-
Austin Alan Babb
107 S Division St, Spokane, WA 99202-1510 · (509) 838-4651
-
Bijou Bachelor
111 E Central Ave, Spokane, WA 99208-1108 · (360) 240-0022
-
Samantha M. Bailey
827 E Ermina Ave Apt 9, Spokane, WA 99207-2537 · (509) 939-9341
-
Bailey Baker
1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 · (509) 999-5657
-
Colin Balentine
8506 N Wall St, Spokane, WA 99208-6164 · (509) 381-4114
-
Carrie Banks
1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 · (509) 999-5657