Dawn Bacon

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3541 Washington St
Lansing, IL 60438-3911

Phone

(773) 673-7449

NPI assigned

Sep 14, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• At My Own Pace ABA

  • Behavior Analyst
  • Lansing, IL
  • NPI 1568298396
  NPD
• At My Own Pace ABA LLC

  • Behavior Analyst
  • Lansing, IL
  • NPI 1821818188
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1215764337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 WASHINGTON ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383911",
            "telephone_number": "773-673-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 WASHINGTON ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383911",
            "telephone_number": "773-673-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Arreola, MA, LCPC, LMHC
• Samantha Jean Aspel, PTA
• At My Own Pace ABA
• At My Own Pace ABA LLC
• Avid Comfort Homecare
• Kimberly Pelagio Baisa, DPT
• Reginald E Ballard Jr.
• Bandyk Podiatry
• Robert Bandyk, DPM
• Shiping Bao, M.D.

• Behavior Technician in Lansing, IL
• Providers in Lansing, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.