Provider Demographics
NPI:1417834854
Name:HATFIELD, CHANCE
Entity type:Individual
Prefix:MR
First Name:CHANCE
Middle Name:
Last Name:HATFIELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8120 HEAVENLY STAR CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-2030
Mailing Address - Country:US
Mailing Address - Phone:857-251-5332
Mailing Address - Fax:
Practice Address - Street 1:8120 HEAVENLY STAR CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-2030
Practice Address - Country:US
Practice Address - Phone:857-251-5332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician