Brooke Bacon Valid NPI
Individual provider · Behavior Technician · San Clemente, CA
- NPI
- 1932723343
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-06-01
- Last updated
- 2020-06-01
Practice location
1007 Calle Sombra Ste A
San Clemente, CA 92673-6244
(949) 272-6146