BLUE WATER ABA THERAPY, CO
NPI 1033602552
Behavior Analyst in Gloucester, VA

Active since June 09, 2018
5472 KINGS DR, GLOUCESTER, VA 23061(804) 824-2396(804) 824-2397 Get Directions Write a Review

NPPES record last updated: October 25, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 25, 2020, Dec 7, 2018, Nov 29, 2018 (3 updates tracked since 2018).

About Blue Water Aba Therapy, Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE WATER ABA THERAPY, CO (NPI 1033602552) is a healthcare organization registered as a behavior analyst in Gloucester, Virginia and active in the NPI registry since June 2018. The organization lists Heidi Lynn Callis, Owner/bcba, as its authorized official.

NPPES Registry Identity

NPI1033602552
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBLUE WATER ABA THERAPY, CO
Location Address5472 KINGS DRGloucester, VA 23061-2906
Mailing Address5472 Kings DrGloucester, VA 23061-2906 · (804) 824-2396 · Fax (804) 824-2397
Fax(804) 824-2397
Organization SubpartNo
Authorized OfficialHeidi Lynn CallisOwner/bcba · (804) 824-2396
Enumeration DateJune 9, 2018
Last NPPES UpdateOctober 25, 20203 updates tracked since enumeration
NPPES CertifiedOctober 25, 2020
NPI 1033602552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in VA · 0133000500
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
5472 KINGS DR, Gloucester, VA 23061

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
5472 KINGS DR
GLOUCESTER, VA 23061
Behavior Analyst
5472 KINGS DR
GLOUCESTER, VA 23061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Water Aba Therapy, Co's NPI number?

The NPI number for Blue Water Aba Therapy, Co is 1033602552. It was assigned to this organization in the NPPES registry on June 9, 2018.

Where is Blue Water Aba Therapy, Co located?

Blue Water Aba Therapy, Co is located at 5472 Kings Dr, Gloucester, VA 23061. The listed phone number is (804) 824-2396.

What is Blue Water Aba Therapy, Co's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Blue Water Aba Therapy, Co was last updated on October 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.