TIDEWATER AUTISM CONSULTATION AND THERAPY, LLC
NPI 1639767981
Behavior Analyst in Gloucester, VA

Q: What is Tidewater Autism Consultation And Therapy, LLC's specialty?

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

Active since January 04, 2021

6676 MAGNOLIA DR, GLOUCESTER, VA 23061(757) 604-3394 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Tidewater Autism Consultation And Therapy, Llc NPPES

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

TIDEWATER AUTISM CONSULTATION AND THERAPY, LLC (NPI 1639767981) is a healthcare organization registered as a behavior analyst in Gloucester, Virginia and active in the NPI registry since January 2021. The organization maintains a secondary practice location in Gloucester and lists Joseph D Legg, Behavior Analysy, as its authorized official.

NPPES Registry Identity

NPI1639767981

Entity TypeOrganization

Primary Taxonomy103K00000X

Legal Business NameTIDEWATER AUTISM CONSULTATION AND THERAPY, LLC

Location Address6676 MAGNOLIA DRGloucester, VA 23061-4239

Mailing Address6676 Magnolia DrGloucester, VA 23061-4239 · (757) 604-3394

Phone(757) 604-3394

Organization SubpartNo

Authorized OfficialJoseph D LeggBehavior Analysy · (757) 604-3394

Enumeration DateJanuary 4, 2021

NPPES CertifiedJanuary 4, 2021

✔ NPI 1639767981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

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.

6676 MAGNOLIA DR, Gloucester, VA 23061

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Secondary Practice Location 1

Location 16676 Magnolia DrGloucester, VA 23061-4239 · Phone (757) 604-3394

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Tidewater Autism Consultation And Therapy, LLC's NPI number?

The NPI number for Tidewater Autism Consultation And Therapy, LLC is 1639767981. It was assigned to this organization in the NPPES registry on January 4, 2021.

Where is Tidewater Autism Consultation And Therapy, LLC located?

Tidewater Autism Consultation And Therapy, LLC is located at 6676 Magnolia Dr, Gloucester, VA 23061. The listed phone number is (757) 604-3394.

What is Tidewater Autism Consultation And Therapy, LLC'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 Tidewater Autism Consultation And Therapy, LLC was last updated on January 4, 2021. 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.