Individual
CHYNAH SITAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4903 SUGAR MAPLE LN, DUMFRIES, VA 22025-3016
(571) 516-0021
Mailing address
4903 SUGAR MAPLE LN, DUMFRIES, VA 22025-3016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YTD726977772
—
VA
Enumeration date
11/18/2022
Last updated
11/18/2022
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