Healthcare Provider Details

I. General information

NPI: 1851219042
Provider Name (Legal Business Name): JUSTIN CALLANDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2412 RIVER OAKS DR
CHESAPEAKE VA
23321-2426
US

IV. Provider business mailing address

2412 RIVER OAKS DR
CHESAPEAKE VA
23321-2426
US

V. Phone/Fax

Practice location:
  • Phone: 337-257-9627
  • Fax: 804-816-4596
Mailing address:
  • Phone: 337-257-9627
  • Fax: 804-816-4596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: