Individual
SAVANNAH R BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2780 MORRIS AVE STE 1B, UNION, NJ 07083-4848
(877) 222-0399
Mailing address
446 W MAPLE AVE APT 1, BOUND BROOK, NJ 08805-1246
(609) 218-9330
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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