Provider Demographics
NPI:1760073647
Name:NITCHIE, ALINA (BA, RBT, QMHP-T)
Entity Type:Individual
Prefix:
First Name:ALINA
Middle Name:
Last Name:NITCHIE
Suffix:
Gender:F
Credentials:BA, 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 410
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7332
Mailing Address - Country:US
Mailing Address - Phone:757-689-3134
Mailing Address - Fax:866-499-8840
Practice Address - Street 1:1866 HERON RUN
Practice Address - Street 2:
Practice Address - City:HAYES
Practice Address - State:VA
Practice Address - Zip Code:23072-3708
Practice Address - Country:US
Practice Address - Phone:802-735-6763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VARBT-20-135231106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician