Individual
AARON FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11660 CHIPPEWA HWY, BEAR LAKE, MI 49614-9419
(231) 655-3146
Mailing address
11660 CHIPPEWA HWY, BEAR LAKE, MI 49614-9419
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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