Provider Demographics
NPI:1386035723
Name:CHANDLER, SARAH ANNE COSTA (BCBA)
Entity Type:Individual
Prefix:
First Name:SARAH ANNE
Middle Name:COSTA
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7542 HEATHERTON LN
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3221
Mailing Address - Country:US
Mailing Address - Phone:803-554-4407
Mailing Address - Fax:
Practice Address - Street 1:8609 2ND AVE
Practice Address - Street 2:SUITE 404B
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3360
Practice Address - Country:US
Practice Address - Phone:240-398-3514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-06
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst