Brian Bacon

NPI 1003760190 · on the registry since 2026

Practice

Address: 2400 W Dunlap Ave Ste 100
Phoenix, AZ 85021
Phone: (623) 570-7070
Organisation at this address: Dynometrics Inc
Bowsers Garden Llc
Great Horizons Llc
Physiotherapy Associates Inc
Center For Autism & Related Disorders, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 152

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona