IVEY BACON
Behavior Technician
Active
Individual
NPI: 1902623465
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | - |
Frequently Asked Questions
NPI 1902623465 is the National Provider Identifier for IVEY BACON, a Behavior Technician provider located in Edmond, OK. This NPI was enumerated on September 25, 2024.
IVEY BACON practices at 600 LIBERTY LN, Edmond, OK 73034.
Quick Facts
- NPI
- 1902623465
- Type
- Individual
- Enumerated
- Sep 25, 2024
- Last Updated
- Sep 25, 2024
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