Provider Demographics
NPI:1386227023
Name:HUTCHESON, CHANDLER ANN MARIE (BSW, RBT, QMHP-T)
Entity Type:Individual
Prefix:MS
First Name:CHANDLER
Middle Name:ANN MARIE
Last Name:HUTCHESON
Suffix:
Gender:F
Credentials:BSW, RBT, QMHP-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 LYNNHAVEN PKWY STE 370
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7353
Mailing Address - Country:US
Mailing Address - Phone:443-480-0810
Mailing Address - Fax:
Practice Address - Street 1:780 LYNNHAVEN PKWY STE 370
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7353
Practice Address - Country:US
Practice Address - Phone:443-480-0810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-21-165094106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician