Zoe Lydia Bacon
Individual provider Active NPI Behavior Technician · Northglenn, CO
NPI 1003374950 · NPPES record last updated Mar 11, 2019
Key facts
- NPI
- 1003374950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11698 Huron St Ste 106
Northglenn, CO 80234-2920 - Phone
- (720) 381-0264
- Fax
- (303) 984-4366
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumpet Behavioral Health, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
11698 Huron St Ste 106
Northglenn, CO 80234-2920
Mailing address
390 Union Blvd Ste 300
Lakewood, CO 80228-6514
Phone (303) 989-8169
Other providers in Northglenn, CO
- Quinten Avila
- Axiom Behavioral Health
- Erica Ayala
- Adriana Sinai Ayaquica
- Kim Bacher
- Haewon Grace Baek
- Brittany Bailey
- Carrie Anne Baker
- Shelby Katherine Baker
- Tiffany N Banks
All providers in Northglenn, CO · Behavior Technician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.