Bacon, Emily Spence

Bacon, Emily Spence is an individual health care provider with primary practice located at 63 Keystone Ave Ste 304 , Reno NV 89503-5524. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bacon, Emily Spence can be contacted via phone (775) 333-5222.

Contact Information

Primary practice address
63 Keystone Ave Ste 304 Reno NV 89503-5524
Phone: (775) 333-5222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1528325131
LBN Legal business name Bacon, Emily Spence
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2012
Last updated Apr 19th, 2012 - about 14 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1528325131 NPPES
Nevada MEDICAID 1780899724

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