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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN BACON JR.

Active

BRIAN BACON JR. is a Behavior Technician healthcare provider located in PHOENIX, Arizona. NPI 1003760190 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · PHOENIX, AZ

Registration Details

NPI Number
1003760190
Provider Type
Individual
Gender
Male
NPI Issued
Feb 24, 2026 (0.44118987076576 yrs)
Last Updated
Feb 24, 2026

Practice Information

Address
2400 W DUNLAP AVE STE 100
PHOENIX, AZ, 850212813
Browse AZ providers · Browse ZIP 85021
Phone
6235707070
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in PHOENIX, AZ

Name Credential NPI
MS. MICHELLE BRANCH MS 1356674949
LIONEL DANIEL RBT 1003274622
CHLOE HAMMERNIK 1073977724
LESLIE E ARUNDEL 1003358227
YINKA SERIKI 1174066872
SAMANTHA JAYNE PAYSON BHT 1972042828
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.