KEIMIAH BACON

Behavior Technician

Active Individual
NPI: 1205619541

Practice Address

1405 PRAIRIE PKWY STE 309
West Fargo, ND 58078

Phone: (701) 277-8844

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1205619541 is the National Provider Identifier for KEIMIAH BACON, a Behavior Technician provider located in West Fargo, ND. This NPI was enumerated on August 18, 2023.
KEIMIAH BACON practices at 1405 PRAIRIE PKWY STE 309, West Fargo, ND 58078.

Quick Facts

NPI
1205619541
Type
Individual
Enumerated
Aug 18, 2023
Last Updated
Aug 18, 2023

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