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Jared Bacon, BT
NPI 1760960314 · on the registry since 2018 · sole proprietor
Practice
- Address
- 120 Wyatt Dr
Las Cruces, NM 88005 - Phone
- (575) 526-6682
- Fax
- (575) 647-3777
- Organisation at this address
- Aprendamos Intervention Team Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 67
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-04
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 New Mexico