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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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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