DANIELLE NICOLE BACON

SAN DIEGO, CA
NPI1770938375
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101Y00000X Counselor
Enumeration Date2016-05-02
Last Update Date2017-11-30
Business Address
DANIELLE NICOLE BACON
501 W BROADWAY STE 800
SAN DIEGO, CA 92101-3546
Phone number: 619-615-0701
Mailing Address
DANIELLE NICOLE BACON
2535 KETTNER BLVD
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
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