Bacon, Kyle Evan
Bacon, Kyle Evan is an individual health care provider with primary practice located at 550 Thornton Pkwy Unit 234 , Thornton CO 80229-2167. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bacon, Kyle Evan can be contacted via phone (720) 459-7493.Contact Information
Primary practice address
550 Thornton Pkwy Unit 234
Thornton CO 80229-2167
Phone: (720) 459-7493
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-60816 | Colorado |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY.0006420 | Colorado |
Profile Details
NPI number | 1922845270 |
---|---|
LBN Legal business name | Bacon, Kyle Evan |
Credentials | PSYD, LP, BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2024 |
Last updated | Jul 12th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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