Karson Kanani Bacon

Behavior Technician · Springfield, OR

Individual Active NPI

NPI number 1578278974

Practice location

219 42ND St
Springfield, OR 97478-5937
Phone
(541) 224-6897

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NPI record

NPI
1578278974
Entity type
Individual (Type 1)
Enumeration date
January 19, 2023
Last updated
January 19, 2023
Certified
January 19, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

5869 Wilshire Dr
Fontana, CA 92336-5696
Phone
(909) 434-6695

About Karson Bacon

Karson Kanani Bacon is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 219 42ND St, Springfield, OR 97478-5937. The NPI number 1578278974 was assigned on January 19, 2023 and the record was last updated on January 19, 2023.

Frequently asked questions

What is the NPI number of Karson Kanani Bacon?

The NPI number is 1578278974.

What is the phone number of Karson Bacon?

The phone number listed for the practice location is (541) 224-6897.

Where is Karson Bacon located?

219 42ND St, Springfield, OR 97478-5937.

What is the taxonomy code for Karson Bacon?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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