Individual
CHAD LEWIS HAMMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14608 THERA WAY, CENTREVILLE, VA 20120-3451
(703) 286-9878
Mailing address
14608 THERA WAY, CENTREVILLE, VA 20120-3451
(703) 286-9878
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-119784
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T63825767
COMMERCIAL INSURANCE PROVIDERS
VA
Enumeration date
02/12/2021
Last updated
02/12/2021
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