Brooke Bacon

Behavior Technician · San Clemente, CA

Individual Active NPI

NPI number 1932723343

Practice location

1007 Calle Sombra Ste a
San Clemente, CA 92673-6244
Phone
(949) 272-6146

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NPI record

NPI
1932723343
Entity type
Individual (Type 1)
Enumeration date
June 1, 2020
Last updated
June 1, 2020
Certified
June 1, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Brooke Bacon

Brooke Bacon is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 1007 Calle Sombra Ste a, San Clemente, CA 92673-6244. The NPI number 1932723343 was assigned on June 1, 2020 and the record was last updated on June 1, 2020.

Frequently asked questions

What is the NPI number of Brooke Bacon?

The NPI number is 1932723343.

What is the phone number of Brooke Bacon?

The phone number listed for the practice location is (949) 272-6146.

Where is Brooke Bacon located?

1007 Calle Sombra Ste a, San Clemente, CA 92673-6244.

What is the taxonomy code for Brooke 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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