Individual provider · Type 1 NPI

Brian Bacon Jr.

Behavior Technician · Phoenix, AZ

NPI number 1003760190 Active

Practice location

2400 W Dunlap Ave Ste 100
Phoenix, AZ 85021-2813

Call (623) 570-7070 Map

Mailing address

996 Royal Marco Way
Marco Island, FL 34145-1829

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1003760190

Brian Bacon Jr.'s National Provider Identifier is 1003760190, issued on Feb 24, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 24, 2026.