IndividualActive
Keimiah Bacon
NPI 1205619541 · Behavior Technician · West Fargo, ND
Keimiah Bacon is a Behavior Technician provider in West Fargo, ND (NPI 1205619541).
Provider details
- NPI number
- 1205619541
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1405 Prairie Pkwy Ste 309
West Fargo, ND 58078-3323
Phone: (701) 277-8844
Approximate (ZIP-level) locationGet directions
Mailing address
647 13th Ave E
West Fargo, ND 58078-3328
Registry dates
- Enumerated
- 2023-08-18
- Last updated
- 2023-08-18
- Certified
- 2023-08-18
Frequently asked questions
- What is Keimiah Bacon's NPI number?
- Keimiah Bacon's National Provider Identifier (NPI) is 1205619541, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keimiah Bacon's specialty?
- Keimiah Bacon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Keimiah Bacon located?
- Keimiah Bacon's practice location on file with NPPES is 1405 Prairie Pkwy Ste 309, West Fargo, ND 58078-3323.
- What is Keimiah Bacon's phone number?
- The practice phone number listed in the NPPES registry for Keimiah Bacon is (701) 277-8844.
- Is Keimiah Bacon's NPI active?
- Yes — Keimiah Bacon's NPI (1205619541) is active in the NPPES registry as of the last update on 2023-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.