Individual
KASSEM YAMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14054 WALNEY VILLAGE CT, CHANTILLY, VA 20151-2271
(703) 628-0122
Mailing address
14054 WALNEY VILLAGE CT, CHANTILLY, VA 20151-2271
(703) 628-0122
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/29/2017
Last updated
12/05/2023
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