OrganizationActive
Blue Water Aba Therapy, Co
NPI 1033602552 · Behavior Analyst · Gloucester, VA
Blue Water Aba Therapy, Co is a Behavior Analyst organization in Gloucester, VA (NPI 1033602552).
Provider details
- NPI number
- 1033602552
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Heidi Callis, Owner/Bcba(804) 824-2396
- License
- 0133000500 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5472 Kings Dr
Gloucester, VA 23061-2906
Phone: (804) 824-2396
Fax: (804) 824-2397
Street-level locationGet directions
Mailing address
5472 Kings Dr
Gloucester, VA 23061-2906
Registry dates
- Enumerated
- 2018-06-09
- Last updated
- 2020-10-25
- Certified
- 2020-10-25
Frequently asked questions
- What is Blue Water Aba Therapy, Co's NPI number?
- Blue Water Aba Therapy, Co's National Provider Identifier (NPI) is 1033602552, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Water Aba Therapy, Co?
- Blue Water Aba Therapy, Co is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Blue Water Aba Therapy, Co located?
- Blue Water Aba Therapy, Co's practice location on file with NPPES is 5472 Kings Dr, Gloucester, VA 23061-2906.
- What is Blue Water Aba Therapy, Co's phone number?
- The practice phone number listed in the NPPES registry for Blue Water Aba Therapy, Co is (804) 824-2396.
- Who is the authorized official for Blue Water Aba Therapy, Co?
- The authorized official listed on Blue Water Aba Therapy, Co's NPPES record is Heidi Callis, Owner/Bcba. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Water Aba Therapy, Co's NPI active?
- Yes — Blue Water Aba Therapy, Co's NPI (1033602552) is active in the NPPES registry as of the last update on 2020-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.