Provider Demographics
NPI:1992509087
Name:BARNETT, CHAD T
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:T
Last Name:BARNETT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 CANVASBACK WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-6530
Mailing Address - Country:US
Mailing Address - Phone:757-269-1302
Mailing Address - Fax:
Practice Address - Street 1:2909 SAVILLE GARDEN WAY
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23453-7032
Practice Address - Country:US
Practice Address - Phone:757-269-1302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician