Tidewater Autism Consultation and Therapy, LLC
NPI 1639767981 · Behavior Analyst · Gloucester, VA
Tidewater Autism Consultation and Therapy, LLC is a Behavior Analyst organization in Gloucester, VA (NPI 1639767981).
Provider details
- NPI number
- 1639767981
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Joseph Legg, Behavior Analysy(757) 604-3394
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 6676 Magnolia DrGloucester, VA 23061-4239Phone: (757) 604-3394
Registry dates
- Enumerated
- 2021-01-04
- Last updated
- 2021-01-04
- Certified
- 2021-01-04
Frequently asked questions
- What is Tidewater Autism Consultation and Therapy, LLC's NPI number?
- Tidewater Autism Consultation and Therapy, LLC's National Provider Identifier (NPI) is 1639767981, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Autism Consultation and Therapy, LLC?
- Tidewater Autism Consultation and Therapy, LLC is classified in the NPPES registry as Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Tidewater Autism Consultation and Therapy, LLC located?
- Tidewater Autism Consultation and Therapy, LLC's practice location on file with NPPES is 6676 Magnolia Dr, Gloucester, VA 23061-4239.
- What is Tidewater Autism Consultation and Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Autism Consultation and Therapy, LLC is (757) 604-3394.
- Who is the authorized official for Tidewater Autism Consultation and Therapy, LLC?
- The authorized official listed on Tidewater Autism Consultation and Therapy, LLC's NPPES record is Joseph Legg, Behavior Analysy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Autism Consultation and Therapy, LLC's NPI active?
- Yes — Tidewater Autism Consultation and Therapy, LLC's NPI (1639767981) is active in the NPPES registry as of the last update on 2021-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.