Individual
IYAA YASIR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 ROBBS HILL RD, LUNENBURG, MA 01462-2167
(978) 602-6437
Mailing address
32 ESTES ST, LYNN, MA 01902-5068
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
MA
Enumeration date
11/26/2019
Last updated
11/26/2019
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