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Individual

AARON MICHAEL FAZIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2423 HOOVER AVE, NATIONAL CITY, CA 91950-6619
(619) 795-9925
Mailing address
5401 BALTIMORE DR APT 77, LA MESA, CA 91942-2049
(623) 606-7227

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CA

Other

Enumeration date
11/18/2024
Last updated
11/18/2024
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