Aaron Fast
Individual provider Active NPI Behavior Technician · Bear Lake, MI
NPI 1942070107 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1942070107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 11660 Chippewa Hwy
Bear Lake, MI 49614-9419 - Phone
- (231) 655-3146
- NPI assigned
- Jan 8, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
11660 Chippewa Hwy
Bear Lake, MI 49614-9419
Mailing address
11660 Chippewa Hwy
Bear Lake, MI 49614-9419
Other providers in Bear Lake, MI
- Better Days ABA PLLC
- Crystal Lake Clinic, P.C.
- Joy Davies
- Abigail Dennis
- Chandler Felty
- Kelly Fischer
- Sydney Gore
- Glenn Charles Griffiths
- Craig Phillip Harless
All providers in Bear Lake, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.