NPI 1003374950

Zoe Lydia Bacon

Practitioner Behavior Technician Northglenn, CO

Practice location

Address: 11698 Huron St STE 106, Northglenn, CO 80234-2920
Phone: (720) 381-0264
Fax: (303) 984-4366
Mailing address: 390 Union Blvd STE 300, Lakewood, CO 80228-6514

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Colorado →

Registry record

NPI: 1003374950
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Mar 2019
Record last updated: 11 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.