Most Relevant Information
Provider Data
| NPI Number: | 1003374950 |
| Provider Name: | ZOE LYDIA BACON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2019 |
| Last Updated: | 03/11/2019 |
Provider Practice Location
11698 HURON ST STE 106
NORTHGLENN
CO
802342920
Practice Location Phone/Fax
| Phone: | 7203810264 |
| Fax: | 3039844366 |
Provider Mailing Location
390 UNION BLVD STE 300
LAKEWOOD
CO
802286514
Provider Mailing Phone/Fax
| Phone: | 3039898169 |
| Fax: | 3039844366 |