Individual provider · Type 1 NPI

Elisha Bacon

Behavior Technician · Port St. Lucie, FL

NPI number 1548059082 Active

Practice location

1801 SE Hillmoor Dr Ste B101-103
Port St. Lucie, FL 34952-7553

Call (772) 463-0444 Map

Mailing address

4803 Wellington Way SW
Vero Beach, FL 32968-2338

Other practice locations

  • 1887 SE Port St Lucie Blvd, Port St. Lucie, FL 34952-5530 · (772) 463-0444

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 1548059082

Elisha Bacon's National Provider Identifier is 1548059082, issued on May 1, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jan 5, 2026.