Individual
MR. ABDUL LATIF SATARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14631 LEE HWY STE 208, CENTREVILLE, VA 20121-5827
(571) 505-7340
Mailing address
10884 CARAWAY CIR, MANASSAS, VA 20109-8217
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-166146
VA
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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